Lajuanna Johnson

NPI #1083132278 in Douglas, Georgia

Provider Information

NPI Number: 1083132278
Entity Type: Individual
Name: Lajuanna Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Sep 7, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1602 BEL AIR CIR
City: Douglas
State: Georgia
ZIP Code: 31533-1396
Phone: (912) 592-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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