Lisa Michelle Johnson, RD, LD
Dietitian, Registered in Fayetteville, AR. Individual provider (NPI-1).
NPI number1679417331
StatusActive
Last updated in NPPESApr 15, 2026
Details
- NPI
- 1679417331
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa Michelle Johnson
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2026
- Certification date
- Apr 15, 2026
- Last updated
- Apr 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 690 | AR | Yes |
Practice location
3239 N Warwick DrFayetteville, AR 72703-6548
Phone 479-466-2987
Mailing address
3239 N Warwick DrFayetteville, AR 72703-6548
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