Organization
LAWRENCE P JOHNSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE P JOHNSON MD (PRESIDENT)
(978) 275-9650
Entity
Organization
Contact information
Practice address
10 RESEARCH PL, SUITE 203, NORTH CHELMSFORD, MA 01863-2439
(978) 275-9650
Mailing address
10 RESEARCH PL, SUITE 203, NORTH CHELMSFORD, MA 01863-2439
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
59219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16958
BLUE SHIELD
MA
Enumeration date
10/17/2007
Last updated
10/17/2007
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