National Provider Identifier

Lauren Johnston, PA

Lauren Johnston, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Ithaca, NY and a listed phone number of (607) 274-7007.

NPI 1124981089Ithaca, NYPhysician Assistant

Profile Overview

NPI
1124981089
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
December 08, 2025
Last Updated
December 08, 2025

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7002

Phone: (607) 274-7007

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1124981089
Entity Type
Individual
Last Name
Johnston
First Name
Lauren
Credential
PA
Mailing Street Address
953 Danby RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-7002
Mailing Country
US
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7002
Practice Country
US
Practice Phone
(607) 274-7007
Enumeration Date
December 08, 2025
Last Updated
December 08, 2025
Sex
Female
Sole Proprietor
No
Certification Date
December 08, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)