National Provider Identifier
Mary L. Johnson, LPN, LMT
Mary L. Johnson, LPN, LMT is listed in the NPPES registry with a primary specialty of Specialist in Victor, NY and a listed phone number of (585) 749-9645.
Profile Overview
- NPI
- 1063533859
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- April 02, 2007
- Last Updated
- July 08, 2007
Practice Location
- 5 Railroad Street
- Victor, NY 14564
Phone: (585) 749-9645
Mailing Address
- 5350 County Road 37
- Hemlock, NY 14466-9616
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1063533859
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Mary
- Middle Name
- L.
- Name Prefix
- Mrs.
- Credential
- LPN, LMT
- Mailing Street Address
- 5350 County Road 37
- Mailing City
- Hemlock
- Mailing State
- NY
- Mailing ZIP Code
- 14466-9616
- Mailing Country
- US
- Mailing Phone
- (585) 749-9645
- Practice Street Address
- 5 Railroad Street
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564
- Practice Country
- US
- Practice Phone
- (585) 749-9645
- Enumeration Date
- April 02, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)