person
Lakeia D Johnson, PA-C
Surgical Physician Assistant in Newark, New Jersey
NPI 1912196353

Lakeia D Johnson is a Surgical Physician Assistant based in Hillside, NJ and is specialized in Surgical. Lakeia D Johnson practices in Newark, NJ and has the professional credentials of PA-C. The NPI Number for Lakeia D Johnson is 1912196353 and holds a License No. 25MP00158500 (New Jersey).

The current practice location address for Lakeia D Johnson is 111 Central Ave, Newark, NJ and can be reached out via phone at 973-877-5000.

Location: 111 Central Ave, Newark, NJ, 07205-2716
person
Provider Profile Details
NPI Number
1912196353
Provider Name
Lakeia D Johnson
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 Central Ave, Newark, NJ, 07205-2716
Phone Number
973-877-5000
Fax Number
Provider Enumeration Date
10/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 Central Ave
City
State
Zip
07102-1909
Phone Number
973-877-5000
Fax Number
person
Provider Business Mailing Address Details
Address
111 Central Ave
City
State
Zip
07102-1909
Phone Number
973-877-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
25MP00158500 (New Jersey)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
25MP00158500 (New Jersey)
Definition
Definition to come...
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