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Individual

LORA LEA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3201 S 7 HWY, BLUE SPRINGS, MO 64014-5301
(866) 389-2727
Mailing address
3201 S 7 HWY, BLUE SPRINGS, MO 64014-5301
(866) 389-2727

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012008582
MO
363LF0000X
Family Nurse Practitioner
75651
KS

Other

Enumeration date
04/02/2012
Last updated
10/07/2021
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