Individual
LORI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
Mailing address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 243-5633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
64244
IA
Other
Enumeration date
10/27/2015
Last updated
10/27/2015
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