Lara W Johnson, MD | |
4015 22nd Pl, Lubbock, TX 79410-1119 | |
(806) 725-6000 | |
(806) 723-7753 |
Full Name | Lara W Johnson |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 4015 22nd Pl, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881608040 | NPI | - | NPPES |
144240101 | Medicaid | TX | |
175706401 | Medicaid | TX | |
175706402 | Medicaid | TX | |
200059820A | Medicaid | OK | |
202000094 | Medicaid | NM | |
8S6820 | Other | TX | HMO BLUE |
202000094 | Other | NM | PRESBYTERIAN COMMERCIAL |
35808012 | Medicaid | NM | |
144240100 | Other | TX | FIRSTCARE COMMERCIAL |
8G6055 | Other | TX | BC/BS |
450686CI38448 | Other | TX | SECTION 1011 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | M1801 (Texas) | Secondary |
208M00000X | Hospitalist | M1801 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Lara W Johnson, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Lara W Johnson, MD 4015 22nd Pl, Lubbock, TX 79410-1119 Ph: (806) 725-6000 |
Kaye Lynn Unrein, FNP-C Hospitalist Medicare: Medicare Enrolled Practice Location: 3514 21st St Fl 6, Lubbock, TX 79410 Phone: 806-725-2263 Fax: 806-723-7768 | |
Amber Bowman Munguia, FNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3514 21st St Fl 6, Lubbock, TX 79410 Phone: 806-725-2263 Fax: 806-723-7768 | |
Kirsten Kuitu Robinson, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-7337 Fax: 806-743-7329 | |
Chanda S. Sethi-dihenia, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 | |
Cynthia Nichols, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3506 21st St, Suite 605, Lubbock, TX 79410 Phone: 806-725-4130 | |
Caleb John Cook, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 4015 22nd Pl, Lubbock, TX 79410 Phone: 806-725-6000 Fax: 806-723-7753 | |
Michael Bourgeois, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 507, Lubbock, TX 79410 Phone: 806-743-7334 Fax: 806-743-7332 |