Individual
LORI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
2530 CHICAGO AVE, MINNEAPOLIS, MN 55404-4289
(651) 220-5675
Mailing address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(651) 220-5675
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
02-0000154
DE
231H00000X
Audiologist
Primary
8297
MN
237600000X
Audiologist-Hearing Aid Fitter
03-0000224
DE
Other
Enumeration date
10/26/2007
Last updated
04/30/2018
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