Individual
LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6432 LAKE SUZZANNE PL, PANAMA CITY, FL 32404-3407
(567) 242-3432
Mailing address
6432 LAKE SUZZANNE PL, PANAMA CITY, FL 32404-3407
(567) 242-3432
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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