Healthcare Provider Details

I. General information

NPI: 1568104818
Provider Name (Legal Business Name): LINDSEY SINCLAIR JOHNSON DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

312 MARTIN LUTHER KING JR BLVD
BALTIMORE MD
21201-1221
US

IV. Provider business mailing address

312 MARTIN LUTHER KING JR BLVD
BALTIMORE MD
21201-1221
US

V. Phone/Fax

Practice location:
  • Phone: 410-358-6450
  • Fax: 443-777-8489
Mailing address:
  • Phone: 410-358-6450
  • Fax: 877-751-1761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0104771
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: