MRS. Mary L. Johnson, LPN, LMT

NPI #1063533859 in Victor, New York

Provider Information

NPI Number: 1063533859
Entity Type: Individual
Name: MRS. Mary L. Johnson, LPN, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LPN, LMT
Enumeration Date: Apr 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5 RAILROAD STREET
City: Victor
State: New York
ZIP Code: 14564
Phone: (585) 749-9645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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