DR. LANCE JON JOHNSON DPM NPI 1174058630

NPI Information

NPI: 1174058630
Provider Name: DR. LANCE JON JOHNSON, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1400 W MAIN ST BLDG 1, SUITE A
BELLEVUE, OH
ZIP 44811
Phone: (419) 483-2494
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DR. Lance Jon Johnson, DPM is a foot and ankle surgery podiatrist in Bellevue, OH with 7 years of experience. DR. Lance Jon Johnson, DPM NPI is 1174058630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1400 W MAIN ST BLDG 1, SUITE A
BELLEVUE, OH
ZIP 44811-429
Phone: (419) 483-2494
Fax: (419) 483-3224

The NPI 1174058630 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/21/2017 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	36.003963	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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