Individual
LAWRENCE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1850 W POINTE DR, OSHKOSH, WI 54902-4164
(920) 233-2222
(920) 233-2263
Mailing address
1850 W POINTE DR, OSHKOSH, WI 54902-4164
(920) 233-2222
(920) 233-2263
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5001990-15
WI
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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