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NPI Code Detail

MEDICARE: DR. LAUREN LEE JOHNSON

MEDICARE: DR. LAUREN LEE JOHNSON
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
1207RG0100XGastroenterology PhysicianME181846FL

General Provider Information

NPI Number : 1689293524
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAUREN LEE JOHNSON
Provider Business Mailing Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-243-7831
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-243-7831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 06/15/2026

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Directions to “ DR. LAUREN LEE JOHNSON ” Practice Location

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