Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYLLIE CHRISTINE MC BRIDE JOHNSON, MS, LAT, ATC
ActiveLYLLIE CHRISTINE MC BRIDE JOHNSON, MS, LAT, ATC is a Sports Medicine (PM&R) healthcare provider located in LITHIA, Florida. NPI 1437880325 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · LITHIA, FL
Registration Details
- NPI Number
- 1437880325
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 21, 2022 (3.9596516251698 yrs)
- Last Updated
- Apr 9, 2024
- Licenses
-
2000051414 (FL)6676 (FL)
Practice Information
- Address
-
13837 CIRCA CROSSING DRLITHIA, FL, 335474382Browse FL providers · Browse ZIP 33547
- Phone
- 2037336035
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.