Individual
DEBORAH M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4950 ESSEN LN STE 300, BATON ROUGE, LA 70809-3739
(225) 757-0343
(225) 757-8354
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
021976
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1446891
MEDICAID GROUP
LA
05
—
1686760
—
LA
01
—
5CK94
MEDICARE GROUP
LA
01
—
5W980CK94
MEDICARE GROUP NUMBER PIN
LA
01
—
DB9815
RAILROAD MEDICARE GROUP
LA
01
—
P00157711
RAILROAD MEDICARE PIN
LA
Enumeration date
05/27/2005
Last updated
03/26/2021
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