Individual provider · Type 1 NPI

Jerry Lee Johnson, DC

Chiropractor · La Crosse, WI

NPI number 1003907817 Active

Practice location

4312 Mormon Coulee Rd
La Crosse, WI 54601-7908

Call (608) 788-7111 Map

Fax (608) 788-7113

Mailing address

PO Box 1891
La Crosse, WI 54602-1891

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X3987-012 (WI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1003907817

Jerry Lee Johnson, DC's National Provider Identifier is 1003907817, issued on Sep 27, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Crosse, WI. The record was last updated on Jul 8, 2007.