| Lynnette Johnson Llc | |
|
1641 E Flamingo Rd Suite 7 Las Vegas NV 89119-5257 | |
| (702) 434-1564 | |
| (702) 434-6704 |
| Full Name | Lynnette Johnson Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1641 E Flamingo Rd, Las Vegas, Nevada |
| Authorized Official Name and Position | Lynnette Elaine Johnson (DIRECTOR) |
| Authorized Official Contact | 7024341564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynnette Johnson Llc 1641 E Flamingo Rd Suite 7 Las Vegas NV 89119-5257 Ph: (702) 434-1564 | Lynnette Johnson Llc 1641 E Flamingo Rd Suite 7 Las Vegas NV 89119-5257 Ph: (702) 434-1564 |
| NPI Number | 1750694253 |
|---|---|
| Provider Enumeration Date | 07/26/2010 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750694253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 01060 (Nevada) | Primary |
| 251S00000X | Community/behavioral Health | 01060 (Nevada) | Secondary |
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