Individual
CIERA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1811 BETHLEHEM PIKE STE B232, FLOURTOWN, PA 19031-1111
(215) 233-1500
Mailing address
8815 GERMANTOWN AVE FL 5, PHILADELPHIA, PA 19118-2722
(215) 248-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD478327
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT221429
PA
Other
Enumeration date
05/18/2020
Last updated
09/21/2023
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