Individual
LYNN M JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
1056
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42974500
—
WI
Enumeration date
11/16/2006
Last updated
11/07/2022
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