Jerry Lee Johnson D.C.

NPI 1003907817 - Chiropractor - 111N00000X

NPI Details
NPI 1003907817
Gender Male
Enumeration Date 09/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4312 MORMON COULEE RD
LA CROSSE WI, 54601-7908, US
Phone (608) 788-7111
Fax (608) 788-7113
Business Location
PO BOX 1891
LA CROSSE WI, 54602-1891, US
Phone (608) 788-7111
Fax (608) 788-7113
Toxanomy
Taxonomy Code 111N00000X
License State Wisconsin
License Number 3987-012
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According to our database, Dr. Jerry Lee Johnson D.C. NPI is 1003907817, taxonomy code is 111N00000X and license number is 3987-012, license state is located at Wisconsin. Jerry Lee Johnson D.C. physically located at 4312 Mormon Coulee Rd, La Crosse WI, 54601-7908. NPI Number Jerry Lee Johnson D.C. has the Individual type.

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1003907817 NPI number is provided on an as is basis without warranty of any kind. 1003907817 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Lee Johnson D.C. are for informational purposes only.