Lillian A Johnson MD

NPI 1790163012 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1790163012
Gender Female
Enumeration Date 05/07/2015
Last Updated 06/29/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
1201 E 36TH AVE
ANCHORAGE AK, 99508-4372, US
Phone (907) 562-9229
Fax
Business Location
PO BOX 4105
PORTLAND OR, 97208-4105, US
Phone (866) 907-1068
Fax (425) 917-9141
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Lillian A Johnson MD NPI is 1790163012, taxonomy code is 390200000X Lillian A Johnson MD physically located at 1201 E 36th Ave, Anchorage AK, 99508-4372. NPI Number Lillian A Johnson MD has the Individual type.

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1790163012 NPI number is provided on an as is basis without warranty of any kind. 1790163012 is maintained by the National Plan & Provider Enumeration System. The contents of Lillian A Johnson MD are for informational purposes only.