Individual
DR. LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Mailing address
2401 VILLAGE PROFESSIONAL DR S, OPELIKA, AL 36801-4702
(334) 749-8121
(334) 749-6166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003060
GA
208000000X
Pediatrics Physician
Primary
31705
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139762
—
AL
01
—
31705
STATE LICENSE
AL
Enumeration date
06/25/2008
Last updated
03/07/2023
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