Individual
LACHAUNDRA LATRICE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-2224
(716) 298-2760
Mailing address
5300 MILITARY RD, LEWISTON, NY 14092-1903
(716) 298-2224
(716) 298-2760
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
312144
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2017
Last updated
03/23/2022
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