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Leondra Johnson
Prosthetic/Orthotic Supplier in Lufkin, Texas
NPI 1386356988

Leondra Johnson is a Prosthetic/Orthotic Supplier based in Lufkin, TX. Leondra Johnson practices in Lufkin, TX. The NPI Number for Leondra Johnson is 1386356988 and holds a License No. (Texas).

The current practice location address for Leondra Johnson is 417 S Chestnut St Ste 107, Lufkin, TX and can be reached out via phone at 936-219-8699.

Location: 417 S Chestnut St Ste 107, Lufkin, TX, 75901-0830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386356988
Provider Name
Leondra Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
417 S Chestnut St Ste 107, Lufkin, TX, 75901-0830
Phone Number
936-219-8699
Fax Number
Provider Enumeration Date
12/15/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
335E00000X 01 TX PROSTHETIC/ORTHOTIC SUPPLIER
institution
Provider Business Practice Location Address Details
Address
417 S Chestnut St Ste 107
City
Lufkin
State
Texas
Zip
75901-0830
Phone Number
936-219-8699
Fax Number
person
Provider Business Mailing Address Details
Address
417 S Chestnut St Ste 107
City
Lufkin
State
Texas
Zip
75901-0830
Phone Number
936-219-8699
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(Texas)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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