Lansworth Johnson

NPI #1609085794 in Jackson, Wyoming

Provider Information

NPI Number: 1609085794
Entity Type: Individual
Name: Lansworth Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: May 22, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 555 EAST BROADWAY
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 733-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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