Johnson, Laura Lynn

Johnson, Laura Lynn is an sole proprietor health care provider with primary practice located at 840 37Th Pl Ste 1N, Vero Beach FL 32960-6502. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Johnson, Laura Lynn can be contacted via phone (772) 978-9000.

Contact Information

Primary practice address
840 37Th Pl Ste 1N Vero Beach FL 32960-6502
Phone: (772) 978-9000
Fax: (772) 978-9922
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME78173 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78173 Florida

Profile Details

NPI number 1588729891
LBN Legal business name Johnson, Laura Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 21st, 2022 - about 3 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 1588729891 NPPES
Florida MEDICAID 256588900

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