Individual
MARTIN LEWIS JOHNSON
Active
Individual
MARTIN LEWIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
018949
LA
207N00000X
Dermatology Physician
Primary
E-5113
AR
207N00000X
Dermatology Physician
M6214
TX
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
15320
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166140001
—
AR
01
—
E5113
STATE LICENSE
AR
Enumeration date
09/12/2005
Last updated
08/20/2025
Update your record
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