Lance Johnson

NPI 1740676907 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1740676907
Gender Male
Enumeration Date 04/14/2015
Last Updated 04/14/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1500 S MAIN ST
FORT WORTH TX, 76104-4917, US
Phone (817) 702-3431
Fax
Business Location
1500 S MAIN ST
FORT WORTH TX, 76104-4917, US
Phone (817) 702-3431
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lance Johnson NPI is 1740676907, taxonomy code is 390200000X Lance Johnson physically located at 1500 S Main St, Fort Worth TX, 76104-4917. NPI Number Lance Johnson has the Individual type.

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1740676907 NPI number is provided on an as is basis without warranty of any kind. 1740676907 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Johnson are for informational purposes only.