Individual
DR. LAWRENCE A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
90 JERICHO TPKE, SUITE 6, MINEOLA, NY 11501-1845
(516) 248-4960
(516) 248-4962
Mailing address
90 JERICHO TPKE, SUITE 6, MINEOLA, NY 11501-1845
(516) 248-4960
(516) 248-4962
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
3198
FL
111NS0005X
Sports Physician Chiropractor
Primary
X2293
NY
Other
Enumeration date
01/09/2007
Last updated
06/30/2008
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