MR. Ezra Lamont Johnson, COTA

NPI #1558333096 in Camp Lejeune, North Carolina

Provider Information

NPI Number: 1558333096
Entity Type: Individual
Name: MR. Ezra Lamont Johnson, COTA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Technician, Other
Credential: COTA
Enumeration Date: Feb 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: NAVAL HOSPITAL CAMP LEJEUNE
Address 2: 100 BREWSTER BLVD
City: Camp Lejeune
State: North Carolina
ZIP Code: 28547
Phone: (910) 450-4750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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