Individual
LASHERYL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2199 SCOTTSDALE AVE, SPRINGDALE, AR 72764-8758
(479) 750-8760
(479) 395-5275
Mailing address
2199 SCOTTSDALE AVE, SPRINGDALE, AR 72764-8758
(479) 750-8760
(479) 395-5275
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R607732
AR
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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