Individual
DR. LYNELLE TERESA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 CLAY PL NE, ONE, WASHINGTON, DC 20019-2647
(202) 306-2086
Mailing address
3500 CLAY PL NE, ONE, WASHINGTON, DC 20019-2647
(202) 306-2086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD037460
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024905300
—
DC
Enumeration date
08/27/2008
Last updated
07/11/2017
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