| Doctor Name: | MRS. LISA ANN JOHNSON |
| NPI Number: | 1609967892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,RD,CSG, LD,CDE |
| License Number: | DT02095 |
| Business Practice Address: | 7400 Merton Minter St San Antonio, TX - 782294404 |
| Business Phone Number: | 2106168238 |
| Business Fax Number: | |
| Mailing Address: | 1244 Bump Gate Rd, PIPE CREEK |
| State: | TX |
| Postal Code: | 780635306 |
| Phone Number: | 8305104766 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT02095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |