Individual
CASEY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 BIRNIE AVE STE 201, SPRINGFIELD, MA 01107-1121
(413) 233-1292
(413) 846-4742
Mailing address
12590 PERRY HWY STE 700, WEXFORD, PA 15090-1549
(724) 382-7272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064332
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/09/2017
Last updated
09/26/2023
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