Individual
DR. LAURA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME78173
FL
208D00000X
General Practice Physician
ME78173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256588900
—
FL
Enumeration date
12/27/2006
Last updated
07/21/2022
Update your record
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