Individual
LYNN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 S 97TH CIR, LA VISTA, NE 68128-7046
(402) 650-1020
Mailing address
8520 S 97TH CIR, LA VISTA, NE 68128-7046
(402) 650-1020
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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