Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAWRENCE REVEL JOHNSON, M.D.
ActiveClinical Pathology/Laboratory Medicine · FARMINGDALE, NY
Registration Details
- NPI Number
- 1881616241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 24, 2006 (19.744921670317 yrs)
- Last Updated
- Nov 16, 2018
- Licenses
-
296540 (NY)23736 (OK)MD072950L (PA)296540 (NY)296540 (NY)
Practice Information
- Address
-
ICON PLC123 SMITH ST.FARMINGDALE, NY, 11735Browse NY providers · Browse ZIP 11735
- Phone
- 6313069808
- Primary Specialty
-
Clinical Pathology/Laboratory Medicine
207ZP0105X
- Additional Specialty
- Hematology (Pathology)
- Additional Specialty
- Hematology (Pathology)
- Additional Specialty
- Immunopathology
- Additional Specialty
- Molecular Genetic Pathology
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.