Individual
INGA RENEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1575 MONTGOMERY DR, BATON ROUGE, LA 70815-6859
(225) 221-3397
Mailing address
1575 MONTGOMERY DR, BATON ROUGE, LA 70815-6859
(225) 221-3397
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200285
LA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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