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Individual

LINDSAY ANN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
22700 W 55TH TER, SHAWNEE, KS 66226-5602
(913) 422-1825
(913) 422-1079
Mailing address
22700 W 55TH TER, SHAWNEE, KS 66226-5602
(913) 422-1825
(913) 422-1079

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1174
KS
183500000X
Pharmacist
Primary
1-100468
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098080A
KS
01
100098080C
SED WAIVER
KS
Enumeration date
06/17/2008
Last updated
10/16/2022
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