Lance Johnson, PA-C

NPI #1093415234 in Yukon, Oklahoma

Provider Information

NPI Number: 1093415234
Entity Type: Individual
Name: Lance Johnson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 7, 2023
Last Updated: Mar 7, 2023

Practice Location

Address: 709 N CZECH HALL RD
City: Yukon
State: Oklahoma
ZIP Code: 73099
Phone: (405) 494-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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