Johnson, Lakeia D

Johnson, Lakeia D is an individual health care provider with primary practice located at 111 Central Ave , Newark NJ 07102-1909. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Johnson, Lakeia D can be contacted via phone (973) 877-5000.

Contact Information

Primary practice address
111 Central Ave Newark NJ 07102-1909
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00158500 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 25MP00158500 New Jersey

Profile Details

NPI number 1912196353
LBN Legal business name Johnson, Lakeia D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Oct 22nd, 2007 - about 17 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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