Wayne Johnson, LMP

NPI #1033345715 in Olympia, Washington

Provider Information

NPI Number: 1033345715
Entity Type: Individual
Name: Wayne Johnson, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP
Enumeration Date: Jun 8, 2009
Last Updated: Jun 8, 2009

Practice Location

Address: 2401 BRISTOL CT SW
Address 2: SUITE A-103
City: Olympia
State: Washington
ZIP Code: 98502-6003
Phone: (360) 878-7506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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