Provider Demographics
NPI:1780885871
Name:JOHNSTON, LINDSAY CALLAHAN (MD)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:CALLAHAN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 208064, 333 CEDAR ST, WP 493
Mailing Address - Street 2:YALE UNIVERSITY, DEPT. OF PEDIATRICS, NEONATOLOGY
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8064
Mailing Address - Country:US
Mailing Address - Phone:203-688-2320
Mailing Address - Fax:203-688-5426
Practice Address - Street 1:333 CEDAR ST, WP 493 BOX 208064,
Practice Address - Street 2:YALE UNIVERSITY, DEPT. OF PEDIATRICS, NEONATOLOGY
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8064
Practice Address - Country:US
Practice Address - Phone:203-688-2320
Practice Address - Fax:203-688-5426
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428336208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics