DR. LAWRENCE REVEL JOHNSON


Address: Icon Plc, 123 Smith St., Farmingdale, NY 11735
Phone: 6313069808

DR. LAWRENCE REVEL JOHNSON (NPI# 1881616241) 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) 1881616241
Entity Type Individual
Full Name DR. LAWRENCE REVEL JOHNSON
Credential M.D.
Practice Address Icon Plc
123 Smith St.
Farmingdale
NY 11735
Mailing Address 123 Smith St
Farmingdale
NY 11735-1004
Practice Telephone 6313069808
Mailing Telephone 6313069808
Mailing Fax Number 6312491920
Enumeration Date 2006-07-24
Last Update Date 2018-11-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZH0000X Pathology
Specialization: Hematology
MD072950L PA Allopathic & Osteopathic Physicians
N 207ZH0000X Pathology
Specialization: Hematology
23736 OK Allopathic & Osteopathic Physicians
N 207ZI0100X Pathology
Specialization: Immunopathology
296540 NY Allopathic & Osteopathic Physicians
N 207ZP0007X Pathology
Specialization: Molecular Genetic Pathology
296540 NY Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
296540 NY Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
MD072950L PA Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
23736 OK Allopathic & Osteopathic Physicians
Y 207ZP0105X Pathology
Specialization: Clinical Pathology/Laboratory Medicine
296540 NY Allopathic & Osteopathic Physicians
N 207ZC0008X Pathology
Specialization: Clinical Informatics
296540 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
6161 S Yale Ave, Tulsa, OK 741361902 9187125571
6565 S Yale Ave Ste 410, Tulsa, OK 741368305 9187125570 9187477831
8606 S Florence Ave, Tulsa, OK 74137 9186053727

Other Providers LAWRENCE JOHNSON

NPI Name Taxonomy Address Enumeration
1477682086 Lawrence A Johnson Dentist 1850 W Pointe Dr, Oshkosh, WI 54902-4164 2007-03-02
1568511863 Lawrence A Johnson Chiropractor 90 Jericho Tpke, Suite 6, Mineola, NY 11501-1845 2007-01-09
1114015351 Lawrence L Johnson Dermatology 3310 W. Main Street, Suite 115, St. Charles, IL 60175 2006-10-11
1861410367 Lawrence Joseph Johnson Psychologist 4149 N Holland Sylvania Rd, Suite 6, Toledo, OH 43623-4808 2006-07-17
1710482005 Lawrence Brian Johnson Counselor 216 W Los Angeles Dr, Vista, CA 92083-3101 2018-03-28
1144400052 Lawrence Vincent Johnson Jr. Pharmacist 225 Meadowbrook Rd, Jackson, MS 39206-5252 2007-11-08
1306992714 Lawrence Bernard Johnson Pediatrics 3319 W Belvedere Ave, Baltimore, MD 21215-5103 2007-01-26
1174550644 Lawrence F Johnson Internal Medicine 619 19th Street South, Birmingham, AL 35233 2006-06-28
1225003049 Lawrence P Johnson Orthopaedic Surgery 10 Research Pl, Suite 203, North Chelmsford, MA 01863-2439 2006-02-23
1619968641 Lawrence Webster Johnson Internal Medicine 2400 Hospital Dr Ste 370, Bossier City, LA 71111-2391 2005-10-31

Office Location

Street Address ICON PLC
123 SMITH ST.
City FARMINGDALE
State NY
Zip Code 11735

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073151197 Center Island Massage PC Massage Therapist 34 Hempstead Turnpike, Suite E, Farmingdale, NY 11735 2019-12-19
1447736434 Melanie Clampitt Occupational Therapy Assistant 158 Sunset Ave, Farmingdale, NY 11735 2018-07-13
1841789120 I-ting Lin Acupuncturist 376 Fulton St. The Phoenix Eastern Medicine Center, Farmingdale, NY 11735 2018-05-02
1447767371 Nashon Clark Social Worker 565 Broadhollow Rd Ste 6e, Farmingdale, NY 11735 2017-12-31
1336669639 Robby Harris Psychologist 31 Lincoln Street, Farmingdale, NY 11735 2017-06-27
1265961544 Stacey Gouzos Behavior Technician 29 Bernard Street, Farmingdale, NY 11735 2017-06-08
1962856450 Integrated Medical Interventional Diagnostics PC Registered Nurse 1111 Broad Hollow Rd 110 Suite 114, Farmingdale, NY 11735 2016-04-20
1528433604 Robert Gerard Jr. Peer Specialist 142-02 20th Aveune, Rosedale, NY 11735 2015-12-01
1750750329 Glenda Lopez Case Manager/Care Coordinator 539 Broad Hollow Rd, Suite 202, Farmingdale, NY 11735 2015-09-24
1366849911 Jeffrey Rosa Counselor 500 Bi-country Blvd, Suite 114, Farmingdale, NY 11735 2014-11-25
Find all providers in zip 11735

Taxonomy Information

Taxonomy Code 207ZP0105X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Clinical Pathology/Laboratory Medicine

Taxonomy Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376945139 Faisal Huq Ronny Pathology 227 Madison St Rm No4.170, New York, NY 10002-7537 2014-09-23
1457790859 Smita Chirag Patel Pathology 622 W 168th St Ph 15, New York, NY 10032 2013-06-19
1609135573 Daniel A Green Pathology 622 W 168th St Dept Of, New York, NY 10032-3720 2012-05-11
1770726994 Pin Kie Teng Pathology 70-20 Ingram Street, Forest Hills, NY 11375 2009-04-17
1629262522 Joseph James Woods Pathology 482 Manchester Rd, Yorktown Heights, NY 10598-1204 2007-09-04
1528281821 Western New York Urology Associates LLC Pathology 2732 Transit Rd, West Seneca, NY 14224-2523 2007-04-11
1164537338 Yong Mei Yin Pathology 141 Combs Ave, Woodmere, NY 11598-1432 2006-08-20
1134159494 Joel H Saltz Pathology Bst Level 9 Rm 140, Stony Brook, NY 11794-8691 2006-07-03
1861431777 Pradeep Prasad Dhital Pathology 900 Franklin Avenue, Valley Stream, NY 11580-4164 2006-06-06
1356389449 Morayma Reyes Gil Pathology 111 E 210th St # 303, Bronx, NY 10467-2401 2006-06-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City FARMINGDALE
Zip Code 11735

Improve Information

Please comment or provide details below to improve the information on DR. LAWRENCE REVEL JOHNSON.

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.

Trending Searches