Individual
JENNIFER LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
117 DEANNA DR, LOWELL, IN 46356
(219) 696-8077
(219) 696-3570
Mailing address
70 E 68TH PL, MERRILLVILLE, IN 46410-3506
(219) 736-2020
(219) 769-3884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003889A
IN
Other
Enumeration date
07/15/2010
Last updated
09/24/2018
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