Individual
LASHONDA D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W. 11 MI RD, NOVI, MI 48375
(248) 299-0030
(248) 655-7959
Mailing address
41521 W. 11 MI RD, NOVI, MI 48375
(248) 299-0030
(248) 655-7959
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4704219223
MI
Other
Enumeration date
06/21/2018
Last updated
06/26/2018
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