DR. Loren Mark Johnson, M.D.

NPI #1114909694 in Scott Afb, Illinois

Provider Information

NPI Number: 1114909694
Entity Type: Individual
Name: DR. Loren Mark Johnson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 18, 2005
Last Updated: Sep 11, 2025

Practice Location

Address: 203 W LOSEY ST
Address 2: SUITE 1620
City: Scott Afb
State: Illinois
ZIP Code: 62225-5207
Phone: (618) 229-6306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Preventive Medicine - Aerospace Medicine — Aerospace Medicine	2083A0100X

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