Individual
DR. LORI R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 106, SHREVEPORT, LA 71105-6000
(318) 798-4573
(318) 798-4651
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6000
(318) 798-4500
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
023711
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030005408
RAILROAD MEDICARE NUMBER
LA
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1486957
—
LA
Enumeration date
06/09/2005
Last updated
02/03/2026
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