Healthcare Provider Details

I. General information

NPI: 1043138472
Provider Name (Legal Business Name): LAUREN HOPE JOHNSTON DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 226 1ST ST.
YUMA PROVING GROUND AZ
85365
US

IV. Provider business mailing address

BLDG 226 1ST ST.
YUMA PROVING GROUND AZ
85365
US

V. Phone/Fax

Practice location:
  • Phone: 928-328-2064
  • Fax:
Mailing address:
  • Phone: 928-328-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number9247
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: