Johnson, Lynette

Johnson, Lynette is an individual health care provider with primary practice located at 604 N Spring St , Harrison AR 72601-2952. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Johnson, Lynette can be contacted via phone (870) 741-6418.

Contact Information

Primary practice address
604 N Spring St Harrison AR 72601-2952
Fax: (870) 741-5071
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E4329 Arkansas

Profile Details

NPI number 1801869680
LBN Legal business name Johnson, Lynette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801869680 NPPES
Arkansas MEDICAID 157673001

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