Organization
LAWRENCE L. JOHNSON, M.D., S.C.
Active
Other names
Lawrence L. Johnson, M.D., S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE L. JOHNSON M.D. (OWNER)
(630) 232-2885
Entity
Organization
Contact information
Practice address
351 DELNOR DR, STE. 400, GENEVA, IL 60134
(630) 232-2885
(630) 232-9936
Mailing address
351 DELNOR DR, STE. 400, GENEVA, IL 60134
(630) 232-2885
(630) 232-9936
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036052717
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052717
—
IL
01
—
4500588
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/30/2006
Last updated
02/24/2015
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