Johnson, Lowell Samuel
Johnson, Lowell Samuel is an sole proprietor health care provider with primary practice located at 9404 Nashville Ave , Lubbock TX 79423-3944. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Johnson, Lowell Samuel can be contacted via phone (806) 794-1747.Contact Information
Primary practice address
9404 Nashville Ave
Lubbock TX 79423-3944
Phone: (806) 794-1747
Fax: (806) 798-8935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C5738 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | C5738 | Texas |
Profile Details
| NPI number | 1982669784 |
|---|---|
| LBN Legal business name | Johnson, Lowell Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jul 17th, 2009 - about 16 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 | 1982669784 | NPPES |
| Texas | MEDICAID | 129561006 |
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