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Individual

LAMAR K JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2153
(302) 623-0188
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301105938
MI
207R00000X
Internal Medicine Physician
Primary
C1-0013180
DE
208000000X
Pediatrics Physician
4301105938
MI
208000000X
Pediatrics Physician
C1-0013180
DE

Other

Enumeration date
04/09/2014
Last updated
07/02/2019
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