Individual
LAWRENCE BERNARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
Mailing address
3319 W BELVEDERE AVE, BALTIMORE, MD 21215-5103
(410) 542-7800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0052517
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M43833
CDS
MD
Enumeration date
01/26/2007
Last updated
03/07/2023
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