Johnson, Laura R

Johnson, Laura R is an individual health care provider with primary practice located at 170 Benney Ln Ste 201 , Dripping Springs TX 78620-5559. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Johnson, Laura R can be contacted via phone (512) 829-2101.

Contact Information

Primary practice address
170 Benney Ln Ste 201 Dripping Springs TX 78620-5559
Phone: (512) 829-2101
Fax: (512) 744-0413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01455 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03435 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03435 Texas

Profile Details

NPI number 1417948530
LBN Legal business name Johnson, Laura R
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2023 - about 2 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 1417948530 NPPES
Kansas MEDICAID 200721650A

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