Individual
LORE JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
5683 US HIGHWAY 129 S, JASPER, FL 32052-6793
(386) 792-6540
Mailing address
209 CENTRAL AVE SE, JASPER, FL 32052-6153
(386) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5206079
FL
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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