Individual
DR. REBECCA LYNN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1691
Mailing address
936 GATES AVE, NORFOLK, VA 23517-1621
(301) 706-5781
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101248076
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39020000X
NNMC
MD
Enumeration date
06/13/2007
Last updated
08/14/2024
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