Individual
LORIANN M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
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
Update your record
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