| NPI | 1275514911 |
|---|---|
| Other Name | LARRY H. JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00037208) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2001-01071) |
| 207Q00000X Family Medicine (Licence: OH 35-04-0609-J) | |
| 207Q00000X Family Medicine (Licence: NM 2003-0111) | |
| 207Q00000X Family Medicine (Licence: KY 36892) | |
| 207Q00000X Family Medicine (Licence: AR E-4454) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-08-11 |