Individual provider · Type 1 NPI

Lakeia D. Johnson, PA-C

Surgical Physician Assistant · Newark, NJ

NPI number 1912196353 Active

Practice location

111 Central Ave
Newark, NJ 07102-1909

Call (973) 877-5000 Map

Mailing address

434 Hollywood Ave
Hillside, NJ 07205-2716

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X25MP00158500 (NJ)
Surgical Physician Assistant Primary 363AS0400X25MP00158500 (NJ)

Surgical Physician Assistant: Definition to come...

201 other providers at this address

Other surgical physician assistant providers in Newark

See all in Newark →

About NPI 1912196353

Lakeia D. Johnson, PA-C's National Provider Identifier is 1912196353, issued on Oct 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newark, NJ. The record was last updated on Oct 22, 2007.