Individual
LANIE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
311 E SPRUCE ST, GARDEN CITY, KS 67846-5614
(620) 275-3705
(620) 275-3074
Mailing address
401 E SPRUCE ST, GARDEN CITY, KS 67846-5679
(620) 272-2222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79158
KS
363LF0000X
Family Nurse Practitioner
R0083528
OK
Other
Enumeration date
10/31/2019
Last updated
12/20/2019
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