MEDICARE: LATOYA 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
1	171WV0202X	Vehicle Modifications Contractor

General Provider Information

NPI Number	:	1841901246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATOYA JOHNSON

Provider Business Mailing Address
First Line	:	1807 SHERWOOD AVE
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-3526
Country	:	US
Telephone Number	:	318-451-2040
Fax Number	:

Provider Business Practice Location Address
First Line	:	1807 SHERWOOD AVE
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-3526
Country	:	US
Telephone Number	:	318-451-2040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2022
Last Update Date	:	02/18/2026

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Directions to “ LATOYA JOHNSON ” Practice Location

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