Search › Louisiana › 235Z00000X
Lydia Johnson
NPI 1760833628 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2522 E 70th St
Shreveport, LA 71105 - Phone
- (713) 594-9726
- Organisation at this address
- Wardell Interests, Inc
Wardell Interest, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 106
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana