NPI 1417774894

Lee a Johnson

Practitioner Driver Denham Springs, LA

Practice location

Address: 9153 Kanawaha CT, Denham Springs, LA 70726-7878
Phone: (225) 978-8333

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 01181927 (LA)

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Registry record

NPI: 1417774894
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2024
Record last updated: 26 Sep 2024

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.