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Lauren Marie Johnson, PA-C

Physician Assistant in Pelham, AL. Individual provider (NPI-1).

NPI number1104376003
StatusActive
Last updated in NPPESOct 4, 2016

Details

NPI
1104376003
Entity type
Individual (NPI-1)
Name
Lauren Marie Johnson
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2016
Last updated
Oct 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1131ALYes

Practice location

2508 Pelham Pkwy
Pelham, AL 35124-1321

Phone 205-664-0880

Mailing address

2508 Pelham Pkwy
Pelham, AL 35124-1321

Phone 205-664-0880

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