Individual
LUCAS W JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS
Contact information
Practice address
6330 NEWTOWN RD, SUITE 100, NORFOLK, VA 23502-4802
(757) 466-4401
(757) 466-4404
Mailing address
437 RHODE ISLAND AVE, NORFOLK, VA 23508-2141
(703) 216-4290
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305205065
VA
Other
Enumeration date
06/25/2007
Last updated
07/21/2022
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