Johnson, Lester S

Johnson, Lester S is an individual health care provider with primary practice located at 5544 Greenwich Rd Ste 200 , Virginia Beach VA 23462-6563. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Johnson, Lester S can be contacted via phone (757) 466-0089.

Contact Information

Primary practice address
5544 Greenwich Rd Ste 200 Virginia Beach VA 23462-6563
Fax: (757) 466-8017
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101230493 Virginia
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 0101230493 Virginia
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 0101230493 Virginia

Profile Details

NPI number 1801872262
LBN Legal business name Johnson, Lester S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Feb 7th, 2014 - about 10 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 1801872262 NPPES
North Carolina MEDICAID 89064PJ
North Carolina Other 300116467
North Carolina Other 35289
North Carolina Other 35289
North Carolina MEDICAID 7235348
North Carolina Other 139178

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