person
Lance Cordell Johnson
Mental Health Clinic/Center (Including Community Mental Health Center) in Bethany, Oklahoma
NPI 1275806010

Lance Cordell Johnson is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Oklahoma City, OK and is specialized in Mental Health (Including Community Mental Health Center). Lance Cordell Johnson practices in Bethany, OK. The NPI Number for Lance Cordell Johnson is 1275806010 and holds a License No. (Oklahoma).

The current practice location address for Lance Cordell Johnson is 7908 Nw 23Rd St, Bethany, OK and can be reached out via phone at 405-636-1463.

Location: 7908 Nw 23Rd St, Bethany, OK, 73159-4612
person
Provider Profile Details
NPI Number
1275806010
Provider Name
Lance Cordell Johnson
Credential
Provider Entity Type
Individual
Gender
Male
Address
7908 Nw 23Rd St, Bethany, OK, 73159-4612
Phone Number
405-636-1463
Fax Number
Provider Enumeration Date
02/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7908 Nw 23Rd St
City
State
Zip
73008-4950
Phone Number
405-636-1463
Fax Number
person
Provider Business Mailing Address Details
Address
7908 Nw 23Rd St
City
State
Zip
73008-4950
Phone Number
405-636-1463
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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