person
Johnson Lay, MD
Military Health Care Provider in Tacoma, Washington
NPI 1962101014

Johnson Lay is a Military Health Care Provider based in Tacoma, WA. Johnson Lay practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Johnson Lay is 1962101014 and holds a License No. (Washington).

The current practice location address for Johnson Lay is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-0117.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-0001
person
Provider Profile Details
NPI Number
1962101014
Provider Name
Johnson Lay
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-0001
Phone Number
253-968-0117
Fax Number
Provider Enumeration Date
02/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-0001
Phone Number
253-968-0117
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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