| Doctor Name: | LAGRAND JOHNSON |
| NPI Number: | 1275797417 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A 6898 |
| Business Practice Address: | 326 Highway 6 Salem, UT - 846535620 |
| Business Phone Number: | 8014238132 |
| Business Fax Number: | |
| Mailing Address: | 1309 North 550 West, PLEASANT GROVE |
| State: | UT |
| Postal Code: | 84062 |
| Phone Number: | 8015928149 |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2008 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A 6898 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |