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Contact Information

LAKEIA D JOHNSON, PA-C
111 CENTRAL AVE
NEWARK, NJ07102-1909
 Phone: 973-877-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LAKEIA D JOHNSON · (Female)

NPI Number 1912196353
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/22/2007
Last updated 10/22/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00158500
Hospital affiliation(s)
  • EAST ORANGE GENERAL HOSPITAL - (Acute Care)
    300 CENTRAL AVE
    EAST ORANGE, NJ 07018
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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