Individual
MS. LYNDALL JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
4555 ERIN DR, #260, EAGAN, MN 55122-3398
(651) 686-8818
Mailing address
4555 ERIN DR, #260, EAGAN, MN 55122-3398
(651) 686-8818
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 1001
MN
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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