Individual
JOAN ELLIOTT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1372 JOHN ADAMS DR, LANCASTER, PA 17601-5065
(717) 393-2103
Mailing address
1372 JOHN ADAMS DR, LANCASTER, PA 17601-5065
(717) 393-2103
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD031866E
PA
208D00000X
General Practice Physician
MD031866E
PA
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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