36D1082640 CLIA NUMBER - LYNN M JOHNSON MD PLLC

Laboratory Demographics

CLIA Number: 36D1082640

Facility Name: LYNN M JOHNSON MD PLLC

Facility Address:
550 TRUMBULL AVENUE
CORTLAND, OH
ZIP 44410
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Facility Phone Number: 330 720-0310

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043203821

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	36D1082640
LAB Type	Physician Office
Facility Name	LYNN M JOHNSON MD PLLC
Street	550 TRUMBULL AVENUE
City	CORTLAND
State	OH
ZIP	44410
Phone	330 720-0310
CertificateType	4
CertificateEffectiveDate	4/15/2024
CertificateExpirationDate	4/14/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024