Individual
LAMAR TYLER JOHNSON
Active
Individual
LAMAR TYLER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
06/25/2025
Last updated
07/13/2025
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