LAKREESE JOHNSON PAC NPI 1508186156

NPI Information

NPI: 1508186156
Provider Name: LAKREESE JOHNSON, PAC
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3855 COOPER ST
JACKSON, MI
ZIP 49201
Phone: (517) 780-5991
Get Directions

Lakreese Johnson, PAC is a medical physician assistant in Jackson, MI. Lakreese Johnson, PAC NPI is 1508186156. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3855 COOPER ST
JACKSON, MI
ZIP 49201-547
Phone: (517) 780-5991

The NPI 1508186156 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2010 and was last updated on 12/13/2017.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	5601005679	MICHIGAN	No
2	363AM0700X	Physician Assistant	Medical	5601005679	MICHIGAN	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: 5/5/2024

NPI Synchronization or Removal

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