Individual
DR. MATTHEW LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1210 W SAGINAW ST, LANSING, MI 48915-1927
(517) 364-7700
Mailing address
516 NUGGETT DR, LANSING, MI 48917-2411
(740) 708-3871
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101025738
MI
390200000X
Student in an Organized Health Care Education/Training Program
5151013598
MI
Other
Enumeration date
06/06/2019
Last updated
05/10/2023
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