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Individual
MR. NEAL LORN JOHNSON
Active
Individual
MR. NEAL LORN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4326 024
WI
225100000X
Physical Therapist
Primary
5501003258
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009687
PREFERRED ONE
—
01
—
650012048
RAILROAD MEDICARE
MI
Enumeration date
07/12/2006
Last updated
12/09/2020
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