Individual
MRS. LUCRETIA ALEATHER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 ALEXANDER FERRY RD, CLINTON, MD 20735-3414
(202) 390-2154
Mailing address
6306 ARMOR DR, CLINTON, MD 20735-3414
(202) 390-2154
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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