Lawrence L. Johnson, M.D., S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036052717 Issued in IL

Legal business name

LAWRENCE L. JOHNSON, M.D., S.C.

Practice address

351 Delnor Dr
Ste. 400
Geneva, IL 60134

Phone

(630) 232-2885

Fax

(630) 232-9936

NPI assigned

Oct 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lawrence L. Johnson, M.D.NPI 1114015351

Title

Owner

Phone

(630) 232-2885

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lawrence L. Johnson, M.D., S.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence L Johnson, M.D.

  • Dermatology Physician
  • St. Charles, IL
  • NPI 1114015351
  Medicare reassignment Care Compare group NPD Authorized official
• Evan Dean Johnson, M.D.

  • Dermatology Physician
  • St. Charles, IL
  • NPI 1407005218
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1376629626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "address_2": "STE. 400",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-232-2885",
            "fax_number": "630-232-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR",
            "address_2": "STE. 400",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "60134",
            "telephone_number": "630-232-2885",
            "fax_number": "630-232-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE L. JOHNSON, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-30",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-232-2885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036052717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036052717",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4500588",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence L. Johnson, M.D., S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise McGrath Lash, LCSW
• Jeffrey Lawrence Lata, LMFT
• Laura Alcantar Counseling PLLC
• Stephen John Lavrisa, D.D.S.
• Sheila Law
• Julie A Lawson, RN
• Dennis J. Lazzara
• Valerie Christine Leach, SLP
• Lee Advanced Breast Care LLC
• Lee Lichtenberg, MD.,SC

• Dermatology Physician in Geneva, IL
• Providers in Geneva, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.