Search › Louisiana › 343900000X
Grant Johnson
NPI 1225451370 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1221 Hilltop St
Gibsland, LA 71028 - Phone
- (318) 843-6090
- Fax
- (318) 843-6090
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 172A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-01-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana