National Provider Identifier
Lachaundra Latrice Johnson, MD
Lachaundra Latrice Johnson, MD is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Lewiston, NY and a listed phone number of (716) 298-2224.
Profile Overview
- NPI
- 1710411079
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- April 13, 2017
- Last Updated
- March 23, 2022
Practice Location
- 5300 Military RD
- Lewiston, NY 14092-1903
Phone: (716) 298-2224
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1710411079
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Lachaundra
- Middle Name
- Latrice
- Credential
- MD
- Mailing Street Address
- 5300 Military RD
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092-1903
- Mailing Country
- US
- Mailing Phone
- (716) 298-2224
- Mailing Fax
- (716) 298-2760
- Practice Street Address
- 5300 Military RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (716) 298-2224
- Practice Fax
- (716) 298-2760
- Enumeration Date
- April 13, 2017
- Last Updated
- March 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 23, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X), Student in an Organized Health Care Education/Training Program (390200000X)