Dr LAVON MARIE JOHNSON is a female medical professional, specializing in Physician Assistant. She graduated in 2006.
REGIONAL SERVICES
3801 S NATIONAL AVE
SPRINGFIELD
MO
658075210
Tel:
| Npi | 1801082821 |
| Pac Id | 7315035854 |
| Professional Enrollment Id | I20071115000659 |
| Last Name | JOHNSON |
| First Name | LAVON |
| Middle Name | MARIE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
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| Organization Legal Name | REGIONAL SERVICES |
| Group Practice Pac Id | 5799787784 |
| Number Of Group Practice Members | 184 |
| Line 1 Street Address | 3801 S NATIONAL AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 658075210 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 260040 |
| Hospital Affiliation Lbn 1 | COX MEDICAL CENTERS |
| Hospital Affiliation Ccn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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