National Provider Identifier
Lisa Anne Johnson-Dimarco, DC
Lisa Anne Johnson-Dimarco, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Ithaca, NY and a listed phone number of (516) 471-0960.
Profile Overview
- NPI
- 1093307563
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- February 06, 2021
- Last Updated
- February 06, 2021
Practice Location
- 700 Warren RD Apt 18-1E
- Ithaca, NY 14850-1224
Phone: (516) 471-0960
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1093307563
- Entity Type
- Individual
- Last Name
- Johnson-Dimarco
- First Name
- Lisa
- Middle Name
- Anne
- Name Prefix
- Dr.
- Credential
- DC
- Provider Other Last Name
- Dimarco
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- Anne
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- DC
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 700 Warren RD Apt 18-1E
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1224
- Mailing Country
- US
- Mailing Phone
- (516) 471-0960
- Practice Street Address
- 700 Warren RD Apt 18-1E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1224
- Practice Country
- US
- Practice Phone
- (516) 471-0960
- Enumeration Date
- February 06, 2021
- Last Updated
- February 06, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)