Individual
DR. PAULA LYNN JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1714
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
988559251
—
NM
Enumeration date
06/21/2012
Last updated
03/20/2015
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