Individual
DR. LONNIE JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
1635 URSULA ST, AURORA, CO 80010-7402
(720) 848-0689
(720) 848-0660
Mailing address
MAIL STOP F742, PO BOX 6510, AURORA, CO 80045
(720) 848-0689
(720) 848-0660
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6965
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71370323
—
CO
Enumeration date
01/30/2006
Last updated
07/08/2007
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