| NPI | 1861463788 |
|---|---|
| Other Name | ROBERT LANCE JOHANSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: MS 14698) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2012-03-14 |