| 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 |
Joshua Mark Stipsits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St Bldg 285, Fort Polk, LA 71459 Phone: 726-780-2443 |
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 |
Mr. Garrett Simmons, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Bayne-jones Army Community Hospital 1585 Third St, Fort Polk, LA 71459 Phone: 318-840-3924 |
Michael Davidson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3517 |
Brian Richard Carlson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 614-371-8434 |