Individual
DR. LYNN R JOHNSON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
440 WOODWARD AVE, IRON MOUNTAIN, MI 49801-4631
(906) 776-9040
(906) 774-5950
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301502375
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1091487326
AMERICAN BOARD OF FAMILY MEDICINE
—
Enumeration date
05/07/2012
Last updated
01/18/2023
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