# LAWRENCE A JOHNSON DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063859668
- **Authorized official:** DR. LAWRENCE A JOHNSON D.C. (PRESIDENT/OWNER)
- **Authorized official phone:** (516) 248-4960

## Contact information

- **Practice address:** 90 JERICHO TPKE, SUITE 6, MINEOLA, NY 11501-1845
- **Practice address phone:** (516) 248-4960
- **Practice address fax:** (516) 248-4962
- **Mailing address:** 90 JERICHO TPKE, SUITE 6, MINEOLA, NY 11501-1845
- **Mailing address phone:** (516) 248-4960
- **Mailing address fax:** (516) 248-4962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X2293 | NY | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013