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Individual

LAGRAND JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1172 E 100 N, PAYSON, UT 84651-1667
(801) 341-1950
Mailing address
1309 N 550 W, PLEASANT GROVE, UT 84062-9296
(801) 592-8149

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
20A 6898
CA
208D00000X
General Practice Physician
Primary
323252-1204
UT

Other

Enumeration date
07/16/2008
Last updated
09/26/2025
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