Individual
MR. EDWARD LAWRENCE JOHANSSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5860 CITRUS BLVD, SUITE D124, NEW ORLEANS, LA 70123-8520
(662) 719-1250
Mailing address
5860 CITRUS BLVD, SUITE D124, NEW ORLEANS, LA 70123-8520
(662) 719-1250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
81-0140
MS
Other
Enumeration date
06/26/2006
Last updated
06/02/2014
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