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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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JOHNSTON, LISA OLIANN
Practice Address: 1601 S. STATE ST.
SUITE 500
EDMOND OK 73013

Address last updated on 10/9/2023
Phone #: (405) 254-6453
Fax #: (405) 562-8735
County: OKLAHOMA
License: 527
Dated: 6/29/2007
Expires: 10/31/2007
Temp. Ltr. Issued: 6/1/2007
Temp. Ltr. Expires: 6/29/2007
License Type: Provisional Dietitian
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 0
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
1601 S. STATE ST.
SUITE 500
EDMOND OK 73013

Phone #: (405) 254-6453
Fax #: (405) 562-8735

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