Individual
DR. DAVID LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
27456
MN
2084P0800X
Psychiatry Physician
G54829
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112228
UCARE
MN
01
—
15-20048
MEDICA/UBH
MN
01
—
29101JO
BC/BS
MN
05
—
315767900
—
MN
01
—
882001
PREFERRED ONE
MN
01
—
PSY0215
ARAZ/AMERICA'S PPO
MN
Enumeration date
08/24/2006
Last updated
06/27/2025
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