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Individual

LAURA JOYCE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513-1090
(315) 332-2266
(315) 359-2806
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237823
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02831670
NY
Enumeration date
10/05/2006
Last updated
10/23/2025
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