Individual
CARA LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(307) 220-8388
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(307) 220-8388
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
006102
AZ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
8610A
WY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
DR0065142
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DR0065142
CO
Other
Enumeration date
07/14/2009
Last updated
05/19/2022
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