NPI 1558994616

Portia Lynett Johnson

Practitioner Driver Roanoke, VA

Practice location

Address: 814 Orlando CT, Roanoke, VA 24019-5308
Phone: (540) 793-7670

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence T23958975 (VA)

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Registry record

NPI: 1558994616
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2020
Record last updated: 18 Feb 2020

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.