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Individual

DR. LORA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
758 HIGHWAY 46 S, DICKSON, TN 37055-2502
(615) 446-2708
(615) 441-5121
Mailing address
127 CRESTVIEW PARK DR STE 209, DICKSON, TN 37055-2856
(615) 446-5121
(615) 446-1359

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64059
TN
207Q00000X
Family Medicine Physician
BP10062854
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q069770
TN
Enumeration date
06/01/2018
Last updated
12/01/2025
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