LAKREESE JOHNSON PAC
NPI 1508186156
Physician Assistant - Medical in Jackson, MI

Q: What is Lakreese Johnson's NPI number?

The NPI number for Lakreese Johnson is 1508186156. It was assigned to this individual provider in the NPPES registry on June 6, 2010.

Q: What is Lakreese Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lakreese Johnson was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 06, 2010

3855 COOPER ST, JACKSON, MI 49201(517) 780-5991 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lakreese Johnson Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKREESE JOHNSON PAC (NPI 1508186156) is an individual medical provider in Jackson, Michigan, licensed in Michigan (5601005679) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1508186156

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLAKREESE JOHNSONCredential: PAC

Location Address3855 COOPER STJackson, MI 49201-7547

Mailing Address3855 Cooper StJackson, MI 49201-7547 · (517) 780-5991

Phone(517) 780-5991

Sole ProprietorNo

Enumeration DateJune 6, 2010

Last NPPES UpdateDecember 13, 2017

✔ NPI 1508186156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601005679

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 5601005679 (MI)

3855 COOPER ST, Jackson, MI 49201

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARJORIE JOYCE TAYLOR DNP, ARNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

3855 COOPER ST
JACKSON, MI 49201

Jackson County (517) 780-5600

AMANDA S COURNEYA NP

Nurse Practitioner (Family)

3855 COOPER ST
JACKSON, MI 49201

Jackson County (517) 780-5669

MICHAELA PUNO WELLER MD

Psychiatry & Neurology (Psychiatry)

3855 COOPER ST, CHARLES EGELER RECEPTION & GUIDANCE CENTER
JACKSON, MI 49201

Jackson County (517) 780-5741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakreese Johnson's NPI number?

The NPI number for Lakreese Johnson is 1508186156. It was assigned to this individual provider in the NPPES registry on June 6, 2010.

Where is Lakreese Johnson located?

Lakreese Johnson practices at 3855 Cooper St, Jackson, MI 49201. The listed phone number is (517) 780-5991.

What is Lakreese Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lakreese Johnson was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.