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Individual

MS. LOUISE M. JOHNSTON

Active
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Individual

MS. LOUISE M. JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., R.D., LDN

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN002232
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007307260041
MEDICAID GROUP #
PA
05
102466919 0001
PA
01
2258141
UNITED HEALTH CARE (MAMSI)
PA
01
50093291
CAPTIAL BLUE CROSS
PA
01
6288633
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
9759565
AETNA NON HMO
PA
01
JO2504332
HIGHMARK BLUE SHIELD
PA
01
P00878810
RAILROAD MEDICARE
PA
Enumeration date
03/24/2010
Last updated
02/18/2014
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