Johnson, Delores Lorraine

Johnson, Delores Lorraine is an individual health care provider with primary practice located at 2135 Valleygate Drive Suite 101 , Fayetteville NC 28304-4415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Delores Lorraine can be contacted via phone (910) 920-1858.

Contact Information

Primary practice address
2135 Valleygate Drive Suite 101 Fayetteville NC 28304-4415
Phone: (910) 920-1858
Fax: (910) 339-9040
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 200400525 North Carolina

Profile Details

NPI number 1043271778
LBN Legal business name Johnson, Delores Lorraine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Mar 17th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043271778 NPPES
North Carolina MEDICAID 89136XM

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