Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANTQUALENE LAVETTE JOHNSON, PA-C
ActiveMedical Physician Assistant · FORT POLK, LA
Registration Details
- NPI Number
- 1720346943
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2012 (13.99196486914 yrs)
- Last Updated
- Apr 25, 2012
- License
-
1103343
Practice Information
- Address
-
2260 GLORY LOOPBLDG 1260FORT POLK, LA, 71446Browse LA providers · Browse ZIP 71446
- Phone
- 3375314127
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT POLK, LA
| Name | Credential | NPI |
|---|---|---|
| MR. DENNIS MICHAEL SOSENKO | PA-C | 1992765101 |
| NIKKI MICSHAWN LEWIS | PA | 1730241167 |
| MICHAEL DAVIDSON | PA-C | 1255480018 |
| KELLY J MARCOUX | P.A.-C | 1477687952 |
| JEFFREY D OLFERT | PA-C | 1700657855 |
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.