Layne Broussard Johnson in Sterlington - Medical
Layne Broussard Johnson - NPI 1982631156
Layne Broussard Johnson is a Medical in Sterlington, Louisiana. Layne Broussard Johnson practices all healthcare services and medical treatments related to Medical. The NPI Number for Layne Broussard Johnson is 1982631156. The last update date is 2014-06-26.
Layne Broussard Johnson's current location address is 10374 Highway 165 N Ste B, Sterlington, Louisiana. You can contact this provider via phone number 3186654543. The mailing address for Layne Broussard Johnson is 10374 Highway 165 N Ste B, Sterlington, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Layne Broussard Johnson |
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Address | 10374 Highway 165 N Ste B, Sterlington, Louisiana |
Phone Number | 3186654543 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1982631156 |
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Provider Enumeration Date | 2006-06-26 |
Last Updated Date | 2014-06-26 |
Provider Mailing Address Detail
Address | 10374 Highway 165 N Ste B |
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City | Sterlington |
State | Louisiana (LA) |
Post Code | 712803320 |
Phone Number | 3186654543 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | A10595RX |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1627747 | LA | -- |
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What is the unique identification code assigned to Layne Broussard Johnson by the Centers for Medicare & Medicaid Services?
The Layne Broussard Johnson has been issued the NPI (National Provider Identifier) 1982631156. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Layne Broussard Johnson?
The Layne Broussard Johnson is situated at 10374 Highway 165 N Ste B, in the city of Sterlington, state of LA, with the zip code 712803320.
What is Layne Broussard Johnson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Layne Broussard Johnson's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Layne Broussard Johnson receive the assignment of its 1982631156 from the Centers for Medicare & Medicaid Services?
The Layne Broussard Johnson was issued its 1982631156 by the Centers for Medicare & Medicaid Services on 2006-06-26.
As of what date were the details pertaining to Layne Broussard Johnson last refreshed?
The information related to the Layne Broussard Johnson, including its address, specialty, and other relevant details, was last updated on 2014-06-26.
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