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Individual
LANCE JOHNSON
Active
Individual
LANCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A161921
CA
207Q00000X
Family Medicine Physician
R9631
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
A161921
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
R9631
TX
Other
Enumeration date
04/14/2015
Last updated
09/09/2024
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