Individual
MR. BRENDAN MICHAEL JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2259284
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093601A
—
MA
Enumeration date
07/05/2012
Last updated
12/18/2012
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