Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 141675 | NC |
NPI | 1588830822 |
---|---|
Provider Name | Dr. Lauren Noelle Collins Johnson |
First Address | Charlotte, NC 28207-1606 |
Second Address | Charlotte, NC 28207-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2008 |
Last Update Date | 28/01/2019 |