Individual
LEAH CAROLINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
2211 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1350
(952) 239-3308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15566
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2023
Last updated
12/23/2025
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