Individual
LOWELL SAMUEL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9404 NASHVILLE AVE, LUBBOCK, TX 79423-3944
(806) 794-1747
(806) 798-8935
Mailing address
9404 NASHVILLE AVE, LUBBOCK, TX 79423-3944
(806) 794-1747
(806) 798-8935
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C5738
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
C5738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129561006
—
TX
Enumeration date
04/18/2006
Last updated
07/17/2009
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