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Lavonne Rose Johnston, PA-C
Medical Physician Assistant in Lancaster, Pennsylvania
NPI 1669402053

Lavonne Rose Johnston is a Medical Physician Assistant based in Lancaster, PA and is specialized in Medical. Lavonne Rose Johnston practices in Lancaster, PA and has the professional credentials of PA-C. The NPI Number for Lavonne Rose Johnston is 1669402053 and holds a License No. MA000735L (Pennsylvania).

The current practice location address for Lavonne Rose Johnston is 2112 Harrisburg Pike, Lancaster, PA and can be reached out via phone at 717-544-3500 and via fax at 717-544-3501.

Location: 2112 Harrisburg Pike, Lancaster, PA, 17601-2644
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Provider Profile Details
NPI Number
1669402053
Provider Name
Lavonne Rose Johnston
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2112 Harrisburg Pike, Lancaster, PA, 17601-2644
Phone Number
717-544-3500
Fax Number
717-544-3501
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA000735L 01 PA LICENSE
institution
Provider Business Practice Location Address Details
Address
2112 Harrisburg Pike
City
State
Zip
17601-2644
Phone Number
717-544-3500
Fax Number
717-544-3501
person
Provider Business Mailing Address Details
Address
2112 Harrisburg Pike
City
State
Zip
17601-2644
Phone Number
717-544-3500
Fax Number
717-544-3501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA000735L (Pennsylvania)
Definition
Definition to come...
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