Lynsey Anne Johnson

NPI #1548612112 in Ithaca, Michigan

Provider Information

NPI Number: 1548612112
Entity Type: Individual
Name: Lynsey Anne Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 7, 2016
Last Updated: Jul 7, 2016

Practice Location

Address: 3723 S ALGER RD
City: Ithaca
State: Michigan
ZIP Code: 48847-9642
Phone: (989) 763-3054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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