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NPI Code Detail

MEDICARE: LINDSEY KRISTINA JOHNSON

MEDICARE: LINDSEY KRISTINA JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental TherapistMA

General Provider Information

NPI Number : 1174487441
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY KRISTINA JOHNSON
Provider Business Mailing Address
First Line : 68 PRESTON ST APT 7E
Second Line :
City : WAKEFIELD
State : MA
Zip : 01880-2564
Country : US
Telephone Number : 781-535-4778
Fax Number :
Provider Business Practice Location Address
First Line : 500 CUMMINGS CTR STE 3570
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6535
Country : US
Telephone Number : 781-593-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ LINDSEY KRISTINA JOHNSON ” Practice Location

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