Individual
JESSICA LAMARR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 262-8727
Mailing address
5119 BROOKFIELD PKWY APT 310, MADISON, WI 53718-2143
(240) 281-0577
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
101070
WI
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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