Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lavon Johnson, IDMT

Individual provider Independent Duty Medical Technicians · NPI 1962828806

Lavon Johnson, IDMT is an Independent Duty Medical Technicians in Nellis AFB, Nevada. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone: (702) 653-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Medical Technicians (primary) Taxonomy 1710I1003X

Record details

NPI number1962828806
Entity typeIndividual (Type 1)
GenderMale
Credentials IDMT
Sole proprietorNo
NPI enumeratedMarch 17, 2014
Last updated in NPPESMay 3, 2022
Certification dateMay 3, 2022
Mailing address4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600

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