Lynette Johnson, M.D.
Specialist in Harrison, AR. Individual provider (NPI-1).
NPI number1801869680
StatusActive
Last updated in NPPESFeb 11, 2014
Details
- NPI
- 1801869680
- Entity type
- Individual (NPI-1)
- Name
- Lynette Johnson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2006
- Last updated
- Feb 11, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | E4329 | AR | Yes |
Practice location
604 N Spring StHarrison, AR 72601-2952
Phone 870-741-6418 · Fax 870-741-5071
Mailing address
Po Box 1116Harrison, AR 72602-1116
Phone 870-741-6418 · Fax 870-741-5071
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 7 Specialist providers in Harrison · All 948 providers in Harrison
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