Individual
MRS. DIONDRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Mailing address
1071 S LAKE DR, LEXINGTON, SC 29073-3719
(803) 957-0605
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24386
SC
Other
Enumeration date
10/27/2020
Last updated
04/03/2024
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