Individual
MRS. LEANN MARIE JOHNSON
Active
Individual
MRS. LEANN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100587
KAISER PERMANENTE
OH
01
—
341425661-00
WORKERS COMP
OH
01
—
341425661-004
MEDICAL MUTUAL
OH
05
—
6725208
—
OH
Enumeration date
01/03/2007
Last updated
07/08/2007
Update your record
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