Mark Daniel Johnson, L.AC.

NPI #1164743449 in Lake Forest Park, Washington

Provider Information

NPI Number: 1164743449
Entity Type: Individual
Name: Mark Daniel Johnson, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Jun 21, 2010
Last Updated: Jun 21, 2010

Practice Location

Address: 19215 32ND AVE NE
City: Lake Forest Park
State: Washington
ZIP Code: 98155-2525
Phone: (206) 937-6079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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