Susan Leanne Johnson

NPI #1558168138 in Omaha, Nebraska

Provider Information

NPI Number: 1558168138
Entity Type: Individual
Name: Susan Leanne Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 28, 2025
Last Updated: Feb 28, 2025

Practice Location

Address: 4715 S 132ND ST
City: Omaha
State: Nebraska
ZIP Code: 68137-1899
Phone: (402) 741-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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