Individual
LAUREN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2508 PELHAM PKWY, PELHAM, AL 35124-1321
(205) 664-0880
Mailing address
2508 PELHAM PKWY, PELHAM, AL 35124-1321
(205) 664-0880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1131
AL
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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