Lakreese Johnson, PAC is a
Physician Assistant - Medical physician based in Jackson, Michigan. Lakreese Johnson is licensed to practice in Michigan (license number 5601005679) and her current practice location is 3855 Cooper St, Jackson, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 780-5991.
NPI number for Lakreese Johnson is 1508186156 and her current mailing address is 3855 Cooper St, Jackson, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508186156.
Physician's Profile
| Full Name | Lakreese Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 3855 Cooper St, Jackson, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508186156
- Provider Enumeration Date: 06/06/2010
- Last Update Date: 12/13/2017
Medical Identifiers
Medical identifiers for Lakreese Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508186156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5601005679 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 5601005679 (Michigan) | 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. Lakreese 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 Address | Practice Location Address |
Lakreese Johnson, PAC 3855 Cooper St, Jackson, MI 49201-7547 Ph: (517) 780-5991 | Lakreese Johnson, PAC 3855 Cooper St, Jackson, MI 49201-7547 Ph: (517) 780-5991 |
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