Individual
LAUREN PATRICIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
NCSU SHS, 2815 CATES AVE, RALEIGH, NC 27695-7304
(919) 515-2563
(188) 897-2415
Mailing address
NCSU SHS, 2815 CATES AVE; PO BOX 7304, RALEIGH, NC 27695-7304
(919) 515-2563
(188) 897-2415
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
200101072
NC
207QA0505X
Adult Medicine Physician
200101072
NC
Other
Enumeration date
10/26/2006
Last updated
08/11/2015
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