Doctor Name: | JOAN ELLIOTT JOHNSON |
NPI Number: | 1386989952 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD031866E |
Business Practice Address: | 1372 John Adams Dr Lancaster, PA - 176015065 |
Business Phone Number: | 7173932103 |
Business Fax Number: | |
Mailing Address: | 1372 John Adams Dr, LANCASTER |
State: | PA |
Postal Code: | 176015065 |
Phone Number: | 7173932103 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2012 |
NPI Last Update Date: | 12/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD031866E |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |