Johnson, Lester R.
Johnson, Lester R. is an individual health care provider with primary practice located at 2841 N Patterson St , Valdosta GA 31602-1890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Johnson, Lester R. can be contacted via phone (229) 316-2619.Contact Information
Primary practice address
2841 N Patterson St
Valdosta GA 31602-1890
Phone: (229) 316-2619
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 026329 | Tennessee |
Profile Details
| NPI number | 1447295498 |
|---|---|
| LBN Legal business name | Johnson, Lester R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 9th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447295498 | NPPES |
| Tennessee | Other | 4119544 | BLUE CROSS |
| Tennessee | MEDICAID | PENDING | BLUE CROSS |
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