Individual
BRIAN LAWRENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5840
Mailing address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5840
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
692368
CA
Other
Enumeration date
05/16/2026
Last updated
05/16/2026
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