TERRY L JOHNSON

LAKELAND, FL
NPI1891037594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP 3183002)
Enumeration Date2013-03-20
Last Update Date2013-10-29
Business Address
-- TERRY L JOHNSON CRNA
1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805-3019
Phone number: 863-680-7000
Mailing Address
-- TERRY L JOHNSON CRNA
PO BOX 95004
LAKELAND, FL 33804-5004
Phone number: 863-680-7000