Individual
LEAH MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1677
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12677
SD
207Q00000X
Family Medicine Physician
33644
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1231654
—
IA
01
—
1336127828
GROUP NPI
IA
Enumeration date
12/13/2005
Last updated
04/18/2022
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