Johnson, Lonnie
Johnson, Lonnie is an individual health care provider with primary practice located at 1635 Ursula St , Aurora CO 80010-7402. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Johnson, Lonnie can be contacted via phone (720) 848-0689.Contact Information
Primary practice address
1635 Ursula St
Aurora CO 80010-7402
Phone: (720) 848-0689
Fax: (720) 848-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 6965 | Colorado |
Profile Details
| NPI number | 1508837410 |
|---|---|
| LBN Legal business name | Johnson, Lonnie |
| Credentials | DDS, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508837410 | NPPES |
| Colorado | MEDICAID | 71370323 |
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