NPI 1124244298

Lyudmila G Johnson, LMP

Practitioner Specialist University Place, WA

Practice location

Address: 2607 Bridgeport Way W 2h1, University Place, WA 98466-4700
Phone: (253) 460-1824
Fax: (253) 460-1920
Mailing address: 2607 Bridgeport Way W Suite 2h1, University Place, WA 98466-4700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA00022715 (WA)

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Registry record

NPI: 1124244298
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2007
Record last updated: 16 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.