LANSWORTH JOHNSON

JACKSON, WY
NPI1609085794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WY  155)
Enumeration Date2007-05-22
Last Update Date2007-07-09
Business Address
-- LANSWORTH JOHNSON
555 EAST BROADWAY
JACKSON, WY 83001
Phone number: 307-733-3900
Mailing Address
-- LANSWORTH JOHNSON
PO BOX 10490
JACKSON, WY 83002-0490
Phone number: 307-733-3900
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