Laurie G Johnson, PAC

NPI #1316954688 in Casper, Wyoming

Provider Information

NPI Number: 1316954688
Entity Type: Individual
Name: Laurie G Johnson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Aug 1, 2006
Last Updated: Oct 12, 2021

Practice Location

Address: 6501 E 2ND ST
City: Casper
State: Wyoming
ZIP Code: 82609-4293
Phone: (307) 235-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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