Individual
KATLYNN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
146 PARK DR, JONESBOROUGH, TN 37659-5745
(423) 737-5794
Mailing address
146 PARK DR, JONESBOROUGH, TN 37659-5745
(423) 617-6286
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314160
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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