Individual
LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
304 S 5TH ST, LEESVILLE, LA 71446-4346
(337) 239-4249
Mailing address
304 S 5TH ST, LEESVILLE, LA 71446-4346
(337) 239-4249
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST019325
LA
Other
Enumeration date
06/17/2011
Last updated
04/29/2021
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