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NPI Code Detail

MEDICARE: TONIKA JOHNSON LPN

MEDICARE:   TONIKA  JOHNSON  LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse162776OH
2247ZC0005XClinical Laboratory Director (Non-physician)36D2190656OH
3291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316597875
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONIKA JOHNSON LPN
Provider Business Mailing Address
First Line : 4933 MONTICELLO BLVD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-2847
Country : US
Telephone Number : 216-224-4113
Fax Number :
Provider Business Practice Location Address
First Line : 4933 MONTICELLO BLVD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-2847
Country : US
Telephone Number : 216-224-4113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2019
Last Update Date : 02/26/2021

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Directions to “ TONIKA JOHNSON LPN” Practice Location

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