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
Fax: (720) 848-0660
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508837410 NPPES
Colorado MEDICAID 71370323

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