Individual provider · Type 1 NPI

Sandra Louise Johnson, PA

Medical Physician Assistant · Lawton, OK

NPI number 1568629863 Active

Practice location

1515 NE Lawrie Tatum Rd
Lawton, OK 73507-3002

Call (580) 354-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1226 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1568629863

Sandra Louise Johnson, PA's National Provider Identifier is 1568629863, issued on May 22, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lawton, OK. The record was last updated on May 22, 2008.