Individual
DR. LYNN ROBERT JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1205 N HUNTER ST, STOCKTON, CA 95202-1409
(209) 464-7367
(209) 464-1801
Mailing address
1205 N HUNTER ST, STOCKTON, CA 95202-1409
(209) 464-7367
(209) 464-1801
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E1406
STATE LICENSE
CA
05
—
ZZZ73253Z
—
CA
Enumeration date
02/07/2006
Last updated
04/07/2011
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