DR. LANNY LEO JOHNSON


Address: 4658 Chippewa Dr, Okemos, MI 48864-2060
Phone: 5173478130

DR. LANNY LEO JOHNSON (NPI# 1285854315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285854315
Entity Type Individual
Full Name DR. LANNY LEO JOHNSON
Credential M.D.
Practice Address 4658 Chippewa Dr
Okemos
MI 48864-2060
Practice Telephone 5173478130
Practice Fax Number 5173478130
Mailing Telephone 5173478130
Mailing Fax Number 5173478130
Enumeration Date 2007-04-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XP3100X Orthopaedic Surgery
Specialization: Pediatric Orthopaedic Surgery
4301024011 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 4658 CHIPPEWA DR
City OKEMOS
State MI
Zip Code 48864-2060

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972066348 Jan J Stokosa Prosthetic/Orthotic Supplier 2145 University Park Drive, Suite 100, Okemos, MI 48864 2019-04-11
1194284067 Bryan R Salminen Counselor 2127 University Drive Suite 300, Okemos, MI 48864 2019-03-19
1639678600 Paula Veronica Yevilaf Neira Behavior Technician 3887 Okemos Rd Suite A1, Okemos, MI 48864 2018-02-06
1306364690 Sally Ann Purdy Social Worker 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 2017-09-06
1952824609 Victoria Marie Hopper Behavior Technician 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 2017-07-24
1134653306 Kayleigh Delaney Dietitian, Registered 5050 Marsh Road, Suite 5, Okemos, MI 48864 2017-04-14
1922544402 Elsabeth Engeda Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4464 Hickory Drive, Okemos, MI 48864 2017-01-09
1104373752 Joslyn Fraidenburg Registered Nurse 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 2016-09-01
1851748966 Doug Derdowski Social Worker 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 2016-05-18
1437505971 Jessica Lynn Reslock Occupational Therapist 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 2016-05-13
Find all providers in zip 48864

Taxonomy Information

Taxonomy Code 207XP3100X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Pediatric Orthopaedic Surgery

Taxonomy Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689962342 Christopher Minnock Orthopaedic Surgery 350 W Big Beaver Rd Dept Of, Troy, MI 48084-5246 2011-07-15
1215416961 Spectrum Health Primary Care Partners Orthopaedic Surgery 802 W King St, Owosso, MI 48867-2100 2018-08-13
1578839338 Spectrum Health Primary Care Partners Orthopaedic Surgery 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 2012-03-27
1972880920 Spectrum Health Primary Care Partners Orthopaedic Surgery 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 2011-11-04
1396024683 Spectrum Health Primary Care Partners Orthopaedic Surgery 35 Michigan Ne, Grand Rapids, MI 49503 2011-08-04
1558661157 Spectrum Health Primary Care Partners Orthopaedic Surgery 183 Peace Blvd, Saint Joseph, MI 49085-9146 2010-10-28
1477853075 Spectrum Health Primary Care Partners Orthopaedic Surgery 550 Munson Ave, Traverse City, MI 49686-3580 2010-10-28
1760792808 Spectrum Health Primary Care Partners Orthopaedic Surgery 1425 Michigan St Ne, Grand Rapids, MI 49503-2027 2010-10-07
1366608986 Philip Daniel Nowicki Orthopaedic Surgery 35 Michigan St Ne, Suite 4150, Grand Rapids, MI 49503-2514 2008-08-04
1962611277 Lisa Dawn Maskill Orthopaedic Surgery 35 Michigan St Ne, Ste. 4150, Grand Rapids, MI 49503-2514 2007-05-22
Find all providers with the same taxonomy

Competitor

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City OKEMOS
Zip Code 48864

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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