Provider Demographics
NPI:1255532651
Name:JOHNSON, ERIK LIHN (MD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:LIHN
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3534 WILLOW CREEK DRIVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102
Mailing Address - Country:US
Mailing Address - Phone:406-656-3871
Mailing Address - Fax:301-443-6725
Practice Address - Street 1:5600 FISHERS LN
Practice Address - Street 2:ROOM 8-103
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20857-0001
Practice Address - Country:US
Practice Address - Phone:301-443-1085
Practice Address - Fax:301-443-6725
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT9919207Q00000X
NE15484207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine