Individual
LYNDON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1050 JABARA AVE, GOLDSBORO, NC 27531-2310
(919) 722-1802
Mailing address
1050 JABARA AVE, GOLDSBORO, NC 27531-2310
(919) 722-1802
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
133748
NC
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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