Individual
CYNTHIA L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8474
(781) 744-5359
Mailing address
LAHEY CLINIC, 41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8474
(781) 744-5359
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
160849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0375471
—
MA
05
—
110018209A
—
MA
Enumeration date
12/21/2006
Last updated
11/16/2010
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