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Individual
DR. LEE JOHNSON
Active
Individual
DR. LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003060
GA
208000000X
Pediatrics Physician
Primary
31705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139762
—
AL
01
—
31705
STATE LICENSE
AL
Enumeration date
06/25/2008
Last updated
03/07/2023
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