NPI | 1376629626 |
---|---|
Doing Business As | LAWRENCE L. JOHNSON, M.D., S.C. |
Entity Type | Organization |
Authorized Contact | LAWRENCE L. JOHNSON Owner 630-232-2885 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IL 036052717) |
Enumeration Date | 2006-10-30 |
Last Update Date | 2015-02-24 |