Individual
LORA MARGHERITA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,PNP
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
Mailing address
638 CALDWELL RD, OAKLAND, CA 94611-1802
(510) 652-0568
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
7953
CA
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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