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Contact Information

LENWORTH N JOHNSON, MD
1 HOPPIN ST
CORO WEST/STE 202
PROVIDENCE, RI02903-4141
 Phone: 401-444-6551
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for LENWORTH N JOHNSON · (Male)

NPI # 1225086655
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2006
Last updated 10/22/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R7N60
  • RI License # MD14426
  • MO Medicaid 202887907
  • KS Other 2086330901 KANSAS MEDICAID
  • MO Other 9312 BLUE SHIELD/BLUE CHOICE
  • MO Other 131956 HEALTHLINK
  • MO Other 804021 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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