DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARA ELIZABETH JOHNSON, PA-C

Active Sole Proprietor

LARA ELIZABETH JOHNSON, PA-C is a Physician Assistant healthcare provider located in HERNDON, Virginia. NPI 1386668572 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · HERNDON, VA

Registration Details

NPI Number
1386668572
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2006 (20.018613482288 yrs)
Last Updated
May 31, 2012
Licenses
PA05335 (TX)
667 (AK)
110003747 (VA)
Sole Proprietor
Yes

Practice Information

Address
13203 LADYBANK LN
HERNDON, VA, 201714031
Browse VA providers · Browse ZIP 20171
Phone
5802510082
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in HERNDON, VA

Name Credential NPI
THOMAS JOHN SCHYMANSKI PA-C 1003807405
JASON LEO MASLOW PA 1285797100
GACHARD JEAN PIERRE PA-C 1770779399
JENNIFER BLANDING PA-C 1497992366
FELLA EZZEKMI-AKSOUH PAC 1912202664
MS. JENNIFER LYNN LESEMAN PA-C 1295019701
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.