Larry Wayne Johnson

NPI #1891186649 in Daphne, Alabama

Provider Information

NPI Number: 1891186649
Entity Type: Individual
Name: Larry Wayne Johnson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies
Enumeration Date: Feb 16, 2015
Last Updated: Feb 16, 2015

Practice Location

Address: 28691 US HIGHWAY 98
Address 2: SUITE D1
City: Daphne
State: Alabama
ZIP Code: 36526-7195
Phone: (251) 410-6474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies	332BX2000X	Primary

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