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Individual

DR. ROBERT LANCE JOHANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2781 CT SWITZER SENIOR DRIVE, SUITE 301, BILOXI, MS 39531-4536
(228) 328-2400
(228) 328-4200
Mailing address
2781 CT SWIZTER SR DR, SUITE 310, BILOXI, MS 39531-4535
(228) 328-2400
(228) 328-4200

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
14698
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116678
MS
01
5707330001
NSC
MS
Enumeration date
01/30/2006
Last updated
09/24/2025
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