Johnson, Lawrence Revel

Johnson, Lawrence Revel is an individual health care provider with primary practice located at Icon Plc 123 Smith St., Farmingdale NY 11735. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Immunopathology, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Johnson, Lawrence Revel can be contacted via phone (631) 306-9808.

Contact Information

Primary practice address
Icon Plc 123 Smith St. Farmingdale NY 11735
Phone: (631) 306-9808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Informatics 207ZC0008X 296540 New York
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 23736 Oklahoma
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X MD072950L Pennsylvania
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X 296540 New York
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X 296540 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 23736 Oklahoma
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD072950L Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 296540 New York
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 296540 New York

Profile Details

NPI number 1881616241
LBN Legal business name Johnson, Lawrence Revel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Nov 16th, 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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