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Individual

DR. LYNN MARIE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
550 TRUMBULL AVE, CORTLAND, OH 44410-9403
(330) 637-2000
(330) 637-2001
Mailing address
550 TRUMBULL AVE, CORTLAND, OH 44410-9403
(330) 637-2000
(330) 637-2001

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35083078J
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2433914
OH
Enumeration date
08/26/2005
Last updated
05/07/2008
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