Doctor Name: | LANE WALMER JOHNSON |
NPI Number: | 1770886434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 7228 |
Business Practice Address: | 9391 Greenback Ln Orangevale, CA - 956624901 |
Business Phone Number: | 9169881721 |
Business Fax Number: | 9169880317 |
Mailing Address: | 9391 Greenback Ln, ORANGEVALE |
State: | CA |
Postal Code: | 956624901 |
Phone Number: | 9169881721 |
Fax Number: | 9169880317 |
NPI Enumeration Date: | 12/17/2010 |
NPI Last Update Date: | 12/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 7228 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |