LYNDON JOHANSEN, DPM
Podiatrist
Active
Individual
NPI: 1306820402
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | DP00230 (OR) |
Frequently Asked Questions
NPI 1306820402 is the National Provider Identifier for LYNDON JOHANSEN, DPM, a Podiatrist provider located in Portland, OR. This NPI was enumerated on December 1, 2005.
LYNDON JOHANSEN, DPM practices at 12658 SE STARK ST, Portland, OR 97233.
Quick Facts
- NPI
- 1306820402
- Type
- Individual
- Enumerated
- Dec 1, 2005
- Last Updated
- Jan 2, 2013
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