Individual
LENWORTH N JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD14426
RI
207W00000X
Ophthalmology Physician
R7N60
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131956
HEALTHLINK
MO
05
—
202887907
—
MO
01
—
2086330901
KANSAS MEDICAID
KS
01
—
804021
UNITED HEALTHCARE
MO
01
—
9312
BLUE SHIELD/BLUE CHOICE
MO
Enumeration date
05/05/2006
Last updated
10/22/2013
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