Individual
MRS. LORELEI ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1901 MEDI PARK DR, AMARILLO, TX 79106-2110
(806) 353-2101
(855) 448-9767
Mailing address
1901 MEDI PARK DR, AMARILLO, TX 79106-2110
(806) 353-2101
(855) 448-9767
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
755498
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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