LAKEIA JOHNSON, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1912196353

Practice Address

111 CENTRAL AVE
Newark, NJ 07102

Phone: (973) 877-5000

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 25MP00158500 (NJ)
Physician Assistant - Surgical 363AS0400X Yes 25MP00158500 (NJ)

Frequently Asked Questions

NPI 1912196353 is the National Provider Identifier for LAKEIA JOHNSON, PA-C, a Physician Assistant - Surgical provider located in Newark, NJ. This NPI was enumerated on October 22, 2007.
LAKEIA JOHNSON, PA-C practices at 111 CENTRAL AVE, Newark, NJ 07102.

Quick Facts

NPI
1912196353
Type
Individual
Enumerated
Oct 22, 2007
Last Updated
Oct 22, 2007

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