Individual
MISS LAUREN MCKENZIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA, PA-C
Contact information
Practice address
771 OLD NORCROSS RD STE 340, LAWRENCEVILLE, GA 30046-4983
(678) 376-7399
(678) 376-7398
Mailing address
2001 BUTTERFIELD RD, STE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
12/05/2019
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