Mrs Antqualene Lavette Johnson, PA-C | |
2260 Glory Loop, Bldg 1260, Fort Polk, LA 71446 | |
(337) 531-4127 | |
Not Available |
Full Name | Mrs Antqualene Lavette Johnson |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 2260 Glory Loop, Fort Polk, Louisiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720346943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 1103343 (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Antqualene Lavette Johnson, PA-C 2260 Glory Loop, Bldg 1260, Fort Polk, LA 71446 Ph: (337) 531-4127 | Mrs Antqualene Lavette Johnson, PA-C 2260 Glory Loop, Bldg 1260, Fort Polk, LA 71446 Ph: (337) 531-4127 |
Mr. Mark Alexander Azel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 46th Engineer Combat Battalion, Bldg. 2264, Suite 105, Fort Polk, LA 71459 Phone: 337-531-4233 | |
Mr. Eric Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 | |
Alexander Kenney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 803-260-9993 | |
Mr. Samson Bekele Beshia, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3118 | |
Michael Davidson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 | |
Mr. Roderick Kelly, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 | |
Jean-luc J Ringuet, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 |