Individual
LAWRENCE F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
L1945DP
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000036853
BLUE CROSS
AL
05
—
000036853
—
AL
01
—
000084040
BLUE CROSS
AL
05
—
000084040
—
AL
01
—
051066287
BLUE CROSS
AL
01
—
051106403
BLUE CROSS
AL
01
—
051510527
BLUE CROSS
AL
01
—
051525674
BLUE CROSS
AL
01
—
051595164
BLUE CROSS
AL
05
—
05228358
—
MS
01
—
100008264
RAILROAD MEDICARE
AL
05
—
106445
—
AL
05
—
119906
—
AL
05
—
891009100
—
AL
01
—
G27225
VIVA
AL
Enumeration date
06/28/2006
Last updated
07/21/2011
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