DR. Jerry Lee Johnson, D.C.

NPI #1003907817 in La Crosse, Wisconsin

Provider Information

NPI Number: 1003907817
Entity Type: Individual
Name: DR. Jerry Lee Johnson, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Sep 27, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 4312 MORMON COULEE RD
City: La Crosse
State: Wisconsin
ZIP Code: 54601-7908
Phone: (608) 788-7111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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