Individual
LAVONNE ROSE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2112 HARRISBURG PIKE, SUITE 202, LANCASTER, PA 17601-2644
(717) 544-3500
(717) 544-3501
Mailing address
2112 HARRISBURG PIKE, SUITE 202, LANCASTER, PA 17601-2644
(717) 544-3500
(717) 544-3501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000735L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA000735L
LICENSE
PA
Enumeration date
07/03/2006
Last updated
03/07/2023
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