Individual
DR. LANNY LEO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4658 CHIPPEWA DR, OKEMOS, MI 48864-2060
(517) 347-8130
(517) 347-8130
Mailing address
4658 CHIPPEWA DR, OKEMOS, MI 48864-2060
(517) 347-8130
(517) 347-8130
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
4301024011
MI
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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