Individual
LARA W. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4015 22ND PL, LUBBOCK, TX 79410-1119
(806) 725-6000
(806) 723-7753
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M1801
TX
208M00000X
Hospitalist Physician
Primary
M1801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144240100
FIRSTCARE COMMERCIAL
TX
05
—
144240101
—
TX
05
—
175706401
—
TX
05
—
175706402
—
TX
05
—
200059820A
—
OK
01
—
202000094
PRESBYTERIAN COMMERCIAL
NM
05
—
202000094
—
NM
05
—
35808012
—
NM
01
—
450686CI38448
SECTION 1011
TX
01
—
8G6055
BC/BS
TX
01
—
8S6820
HMO BLUE
TX
Enumeration date
07/27/2006
Last updated
12/03/2021
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