Lyudmila G Johnson in University Place - Specialist
Lyudmila G Johnson - NPI 1124244298
Lyudmila G Johnson is a Specialist in University Place, Washington. Lyudmila G Johnson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lyudmila G Johnson is 1124244298. The last update date is 2015-12-16.
Lyudmila G Johnson's current location address is 2607 Bridgeport Way W, University Place, Washington. You can contact this provider via phone number 2534601824 and fax number 2534601920. The mailing address for Lyudmila G Johnson is 2607 Bridgeport Way W, University Place, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lyudmila G Johnson |
|---|---|
| Address | 2607 Bridgeport Way W, University Place, Washington |
| Phone Number | 2534601824 |
| Fax Number | 2534601920 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1124244298 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2015-12-16 |
Provider Mailing Address Detail
| Address | 2607 Bridgeport Way W |
|---|---|
| City | University Place |
| State | Washington (WA) |
| Post Code | 984664700 |
| Phone Number | 2534601824 |
| Fax Number | 2534601920 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00022715 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Lyudmila G Johnson's unique identification number?
The Lyudmila G Johnson has been assigned the NPI (National Provider Identifier) Number 1124244298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lyudmila G Johnson's physical address?
The Lyudmila G Johnson is physically located at 2607 Bridgeport Way W, in the city of University Place, WA, with the postal code 984664700.
What is Lyudmila G Johnson's area of expertise and its corresponding taxonomy classification?
The Lyudmila G Johnson's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lyudmila G Johnson receive the assignment of its 1124244298 from the Centers for Medicare & Medicaid Services?
The Lyudmila G Johnson was issued its 1124244298 by the Centers for Medicare & Medicaid Services on 2007-04-17.
When was the information pertaining to Lyudmila G Johnson most recently updated or revised?
The details related to Lyudmila G Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2015-12-16.
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