Individual
DR. CARMEN ELIZABETH JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3975 I 49 S SERVICE RD, SUITE 201, OPELOUSAS, LA 70570-0775
(337) 407-2795
(337) 407-2798
Mailing address
3975 I 49 S SERVICE RD, SUITE 201, OPELOUSAS, LA 70570-0775
(337) 407-2795
(337) 407-2798
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13641R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13641R
STATE LICENSE NUIMBER
LA
05
—
1434108
—
LA
05
—
1449687
—
LA
Enumeration date
08/22/2005
Last updated
07/09/2007
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