National Provider Identifier
Lillie R Johnson, MS, ED.
Lillie R Johnson, MS, ED. is listed in the NPPES registry with a primary specialty of Specialist in Rochester, NY and a listed phone number of (585) 353-4491.
Profile Overview
- NPI
- 1205725827
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 30, 2025
- Last Updated
- June 30, 2025
Practice Location
- 1057 E Henrietta RD
- Rochester, NY 14623-2635
Phone: (585) 353-4491
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1205725827
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Lillie
- Middle Name
- R
- Credential
- MS, ED.
- Mailing Street Address
- 1057 E Henrietta RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14623-2635
- Mailing Country
- US
- Mailing Phone
- (585) 353-4491
- Practice Street Address
- 1057 E Henrietta RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14623-2635
- Practice Country
- US
- Practice Phone
- (585) 353-4491
- Enumeration Date
- June 30, 2025
- Last Updated
- June 30, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 30, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)