Individual
DR. LAWRENCE REVEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ICON PLC, 123 SMITH ST., FARMINGDALE, NY 11735
(631) 306-9808
Mailing address
123 SMITH ST, FARMINGDALE, NY 11735-1004
(631) 306-9808
(631) 249-1920
Taxonomy
Speciality
Code
Description
License number
State
207ZC0008X
Clinical Informatics (Pathology) Physician
296540
NY
207ZH0000X
Hematology (Pathology) Physician
23736
OK
207ZH0000X
Hematology (Pathology) Physician
MD072950L
PA
207ZI0100X
Immunopathology Physician
296540
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
296540
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
23736
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
296540
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD072950L
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
296540
NY
Other
Enumeration date
07/24/2006
Last updated
11/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us