Individual
DR. JOHANNAH KATHRYN MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(434) 981-9742
Mailing address
21 EXECUTIVE DR UNIT 414, STONEHAM, MA 02180-0032
(434) 981-9742
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2019-00453
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
281944
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2016
Last updated
07/28/2020
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