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Lynette K. Johns, O.D.

Optometrist, Corneal and Contact Management in Waltham, MA. Individual provider (NPI-1).

NPI number1053407411
StatusActive
Last updated in NPPESAug 24, 2021

Details

NPI
1053407411
Entity type
Individual (NPI-1)
Name
Lynette K. Johns
Credential
O.D.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 5, 2006
Certification date
Aug 24, 2021
Last updated
Aug 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WC0802X Optometrist, Corneal and Contact Management4412MAYes

Practice location

1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356

Phone 781-890-1023

Mailing address

1601 Trapelo Rd Ste 184
Waltham, MA 02451-7356

Phone 781-890-1023

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