NPI 1679573745

Lydia Jones Johnson, MD

Practitioner Dermatology Physician Glen Allen, VA

Practice location

Address: 5201 Hickory Park Dr STE a, Glen Allen, VA 23059-2623
Phone: (804) 262-6060
Fax: (804) 262-6422
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0101230897 (VA)

Other Dermatology providers in Virginia →

Registry record

NPI: 1679573745
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jul 2005
Record last updated: 10 Jun 2024

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.