Individual
LEWIS W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3229 E GENESEE ST, JOSLIN CENTER, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Mailing address
3229 E GENESEE ST, JOSLIN CENTER, SYRACUSE, NY 13214-2016
(315) 464-5726
(315) 464-2500
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
094658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00629016
—
NY
Enumeration date
06/09/2006
Last updated
10/20/2010
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