Healthcare Provider Details

I. General information

NPI: 1851618128
Provider Name (Legal Business Name): LAUREN ELISE BACHMANN JOHNSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

IV. Provider business mailing address

13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US

V. Phone/Fax

Practice location:
  • Phone: 480-301-8000
  • Fax: 480-301-4675
Mailing address:
  • Phone: 480-301-8000
  • Fax: 480-301-4675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number4631
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: