JOHN DEREK JOHNSON

JENA, LA
NPI1619234945
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: LA  206647)
Enumeration Date2012-04-11
Last Update Date2015-07-07
Business Address
-- JOHN DEREK JOHNSON MD
180 NINTH ST LASALLE FAMILY MEDICINE CLINIC
JENA, LA 71342-3900
Phone number: 318-992-9200
Mailing Address
-- JOHN DEREK JOHNSON MD
PO BOX 2780 LASALLE FAMILY MEDICINE CLINIC
JENA, LA 71342-2780
Phone number: 318-992-9200