Dr Loren Mark Johnson, MD - Preventive Medicine in Scott Afb, IL

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Dr Loren Mark Johnson, MD is a Preventive Medicine - Aerospace Medicine physician based in Scott Afb, Illinois. Dr Loren Mark Johnson is licensed to practice in Virginia (license number 0101033282) and his current practice location is 203 W Losey St, Suite 1620, Scott Afb, Illinois. He can be reached at his office (for appointments etc.) via phone at (618) 229-6306.

NPI number for Dr Loren Mark Johnson is 1114909694 and his current mailing address is 203 W Losey St, Suite 1620, Scott Afb, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114909694.

Contact Information

Dr Loren Mark Johnson, MD
203 W Losey St, Suite 1620,
Scott Afb, IL 62225-5207
(618) 229-6306
Not Available

Map and Direction




Physician's Profile

Full NameDr Loren Mark Johnson
GenderMale
SpecialityPreventive Medicine - Aerospace Medicine
Location203 W Losey St, Scott Afb, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114909694
  • Provider Enumeration Date: 11/18/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Loren Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114909694NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101033282 (Virginia)Primary
2083A0100XPreventive Medicine - Aerospace Medicine 0101033282 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Loren Mark Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Loren Mark Johnson, MD
203 W Losey St, Suite 1620,
Scott Afb, IL 62225-5207

Ph: () -		Dr Loren Mark Johnson, MD
203 W Losey St, Suite 1620,
Scott Afb, IL 62225-5207

Ph: (618) 229-6306

Reviews and Comments


Preventive Medicine Doctors in Scott Afb, IL


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