Johnson, Victoria Lecorian
Johnson, Victoria Lecorian is an individual health care provider with primary practice located at 15100 Mack Ave , Grosse Pointe Park MI 48230-6202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Johnson, Victoria Lecorian can be contacted via phone (313) 824-4400.Contact Information
Primary practice address
15100 Mack Ave
Grosse Pointe Park MI 48230-6202
Phone: (313) 824-4400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A184505 | California |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 303597 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | EMC0002347 | Michigan |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A184505 | California |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 303597 | New York |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | EMC0002347 | Michigan |
Profile Details
NPI number | 1083094791 |
---|---|
LBN Legal business name | Johnson, Victoria Lecorian |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2015 |
Last updated | May 16th, 2024 - about last year |
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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