LISA JOHNSON

MAIN LINE HEALTHCARE

Dr LISA JOHNSON is a female medical professional, specializing in Internal Medicine. She graduated in 1987 from Temple University School Of Medicine.

Contact

MAIN LINE HEALTHCARE

830 OLD LANCASTER RD
BRYN MAWR
PA
190103118

Tel:

LISA JOHNSON Information

Npi 1740279843
Pac Id 4486627809
Professional Enrollment Id I20100929000430
Last Name JOHNSON
First Name LISA
Middle Name
Suffix
Gender F
Credential
Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1987
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAIN LINE HEALTHCARE
Group Practice Pac Id 1951215201
Number Of Group Practice Members 582
Line 1 Street Address 830 OLD LANCASTER RD
Line 2 Street Address
Marker Of Address Line 2 Suppression Y
City BRYN MAWR
State PA
Zip Code 190103118
Phone Number
Hospital Affiliation Ccn 1 390179
Hospital Affiliation Lbn 1 CHESTER COUNTY HOSPITAL
Hospital Affiliation Ccn 2 390153
Hospital Affiliation Lbn 2 PAOLI HOSPITAL
Hospital Affiliation Ccn 3 390222
Hospital Affiliation Lbn 3 RIDDLE MEMORIAL HOSPITAL
Hospital Affiliation Ccn 4 390139
Hospital Affiliation Lbn 4 BRYN MAWR HOSPITAL
Hospital Affiliation Ccn 5 390076
Hospital Affiliation Lbn 5 BRANDYWINE HOSPITAL
Professional Accepts Medicare Assignment Y

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