Individual
DR. LYNNE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
348 MAIN ST, GREENVILLE, PA 16125-2608
(724) 588-5250
(724) 588-5253
Mailing address
PO BOX 716, 100 SHENANGO AVENUE, SHARON, PA 16146-0716
(724) 588-5250
(724) 588-5253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD421255
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019567800002
—
PA
Enumeration date
02/28/2006
Last updated
06/09/2017
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