Most Relevant Information
Provider Data
| NPI Number: | 1003419904 |
| Provider Name: | LYNN JOHNSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/21/2020 |
| Last Updated: | 11/21/2020 |
Provider Practice Location
7218 CRENSHAW BLVD APT 2
LOS ANGELES
CA
900434959
Practice Location Phone/Fax
| Phone: | 3106923015 |
| Fax: |
Provider Mailing Location
7218 CRENSHAW BLVD APT 2
LOS ANGELES
CA
900434959
Provider Mailing Phone/Fax
| Phone: | 3106923015 |
| Fax: |