-- LANSWORTH JOHNSON --
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1609085794- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 555 EAST BROADWAY, JACKSON, WY, 83001
- Phone
- (307) 733-3900
- Fax
- (307) 732-0925
Specialties & Taxonomies
Physician Assistant
Primary License: WY #155