John Derek Johnson, MD

NPI #1619234945 in Jena, Louisiana

Provider Information

NPI Number: 1619234945
Entity Type: Individual
Name: John Derek Johnson, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 11, 2012
Last Updated: Jul 7, 2015

Practice Location

Address: 180 NINTH ST
Address 2: LASALLE FAMILY MEDICINE CLINIC
City: Jena
State: Louisiana
ZIP Code: 71342-3900
Phone: (318) 992-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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