SearchMississippi2255A2300X

Lynnette Johnson, ATC

NPI 1821027194 · on the registry since 2006

Practice

Address
1 Colisuem Drive
Gillom Sports Center
University, MS 38677
Phone
(662) 915-7303
Fax
(662) 915-5648

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 Mississippi