Johnson, Lucy M

Johnson, Lucy M is an individual health care provider with primary practice located at 100 4Th St S , Fargo ND 58103-1929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Johnson, Lucy M can be contacted via phone (701) 234-3100.

Contact Information

Primary practice address
100 4Th St S Fargo ND 58103-1929
Phone: (701) 234-3100
Fax: (701) 234-3120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R20985 North Dakota

Profile Details

NPI number 1184642753
LBN Legal business name Johnson, Lucy M
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 16th, 2012 - about 12 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 1184642753 NPPES
North Dakota MEDICAID 70011
North Dakota MEDICAID 70010
North Dakota MEDICAID 300019200

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