NPI 1104896133

Scott Raymond Johnson, MD

Practitioner Surgery Physician Lewiston, ME

Practice location

Address: 12 High St STE 401, Lewiston, ME 04240-7690
Phone: (207) 795-5767
Fax: (207) 795-2732
Mailing address: 12 High St, Lewiston, ME 04240-7676

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence MD21930 (ME)

Other Surgery providers in Maine →

Transplant Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 204F00000X Licence 216275 (MA)

Other Transplant Surgery providers in Maine →

Registry record

NPI: 1104896133
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2006
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.