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Individual

DR. LINDSAY JESSICA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
291 INDEPENDENCE DR, PODIATRY DEPT., CHESTNUT HILL, MA 02467-3628
(617) 541-6611
(617) 541-7550
Mailing address
291 INDEPENDENCE DR, PODIATRY DEPT, CHESTNUT HILL, MA 02467-3628
(617) 541-6611
(617) 541-7550

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2368
MA
390200000X
Student in an Organized Health Care Education/Training Program
1211
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110087324A
MA
Enumeration date
09/19/2008
Last updated
07/27/2011
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