Individual
MS. LAVON M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 E HWY 60, MONETT, MO 65708-8258
(417) 354-1400
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2007004098
MO
Other
Enumeration date
09/24/2007
Last updated
05/28/2025
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