Lindsey N Johnson, DO
Dermatology in Glendale, AZ. Individual provider (NPI-1).
NPI number1912696550
StatusActive
Last updated in NPPESApr 1, 2025
Details
- NPI
- 1912696550
- Entity type
- Individual (NPI-1)
- Name
- Lindsey N Johnson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2023
- Certification date
- Apr 1, 2025
- Last updated
- Apr 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 011530 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11851 N 51st Ave Ste E130Glendale, AZ 85304-2843
Phone 623-299-9540
Mailing address
11851 N 51st Ave Ste E130Glendale, AZ 85304-2843
Phone 623-299-9540
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