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Individual

MS. LORILEA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
711 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6387
(573) 686-4151
Mailing address
711 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6387
(573) 686-4151

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
111020
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111020
RN LICENSE
MO
Enumeration date
04/12/2007
Last updated
05/28/2025
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