Individual
LYNETTE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24230 KARIM BLVD STE 100, NOVI, MI 48375-2960
(248) 787-2924
Mailing address
24230 KARIM BLVD STE 100, NOVI, MI 48375-2960
(248) 787-2924
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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