Individual
MRS. ANTQUALENE LAVETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2260 GLORY LOOP, BLDG 1260, FORT POLK, LA 71446
(337) 531-4127
Mailing address
2260 GLORY LOOP, BLDG 1260, FORT POLK, LA 71446
(337) 531-4127
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1103343
—
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us