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Deactivated NPI 1639169147 Deactivated / Inactive NPI Female Practitioner

Dr. Lee A Johnson , MD

Pediatrics • La Crosse, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lee Johnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2005
NPI Deactivation Date January 29, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Lee Johnson, MD was a registered Pediatrics practicing in La Crosse, WI. Throughout an active medical career spanning 21 years, Dr. Johnson provided care at the practice location at 800 WEST AVE S until profile deactivation on 2026-01-29.

Practice Location & Contact Primary Location

Practice Address

800 West Ave S

La Crosse, WI 546018806

Telephone 6083929881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in La Crosse, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
34 Specialists

Practicing in La Crosse, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 42099

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1104816610

Doctor of Medicine (M.D.)

Dr. Douglas Nelson , MD

Allergy & Immunology

NPI 1356331862

Doctor of Medicine (M.D.)

NPI 1942290457

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

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Updated Business Mailing Address October 02, 2018

Registered at PO BOX 1510, EAU CLAIRE, WI 547021510 (Tel: 7158385895)

NPI Profile Active January 24, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2012

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6083929881)

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Updated Business Mailing Address January 24, 2012

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6083929881)

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Provider Name / Credentials Updated January 24, 2012

Recorded as LEE JOHNSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2012

Pediatrics (License #42099 in WI)

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Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639169147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2005
Last Update: January 24, 2012
Deactivation Date: January 29, 2026

Mailing Address

800 West Ave S

La Crosse, WI 546018806

Phone: 6083929881

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.