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Individual

LORIANN M JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
520 MAIN ST, HAWLEY, MN 56549-4726
(218) 483-1500
(218) 483-1501
Mailing address
520 MAIN ST, HAWLEY, MN 56549-4726
(218) 483-1500
(218) 483-1501

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1044
ND
225100000X
Physical Therapist
Primary
7264
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
54862
ND
05
874633800
MN
Enumeration date
06/12/2006
Last updated
08/26/2014
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