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Contact Information

LANSWORTH JOHNSON
555 EAST BROADWAY
JACKSON, WY83001
 Phone: 307-733-3900
 Fax: 307-732-0925
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LANSWORTH JOHNSON · (Male)

NPI # 1609085794
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WY License # 155
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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