Michael Wang

 LON 
 ETH 
 INTERVENTIONAL PAIN CENTERS 
 Estimate 
 Name: Johnson, Karen 
 Date: 2014 September 13
 DOB: 1990 June 17 
 Order date 
 Activity 
 Amount 
 2016 August 18
 Professional Medical Services/Physician 
 $4837 
 Fees: 62337, Cervical ESI 
 2021 September 20 
 Professional Medical Services/Physician Fees: 
 $337 
 77003 Fluoroscopy for Needle Guidance 
 Total = 
 $5137 
 4213 Teuton Street Metairie, LA 70006 Phone 504xxxxx Fax 504xxxx
 www.lonsethpain.com
