Individual
LAUREN KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010082
VA
363A00000X
Physician Assistant
085008004
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/05/2020
Last updated
07/23/2024
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