Individual provider · Type 1 NPI

Loren Mark Johnson, MD

Family Medicine Physician · Scott Afb, IL

NPI number 1114909694 Active

Practice location

203 W Losey St, Suite 1620
Scott Afb, IL 62225-5207

Call (618) 229-6306 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X0101033282 (VA)
Aerospace Medicine Physician 2083A0100X0101033282 (VA)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1114909694

Loren Mark Johnson, MD's National Provider Identifier is 1114909694, issued on Nov 18, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Scott Afb, IL. The record was last updated on Sep 11, 2025.