Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 50279 | CA |
Y | 213EG0000X | General Practice | 50279 | CA |
NPI | 1003951732 |
---|---|
Provider Name | Dr. Lindsay M Johnson |
First Address | Sacramento, CA 95831-3465 |
Second Address | Sacramento, CA 95831-3465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 01/11/2012 |