Individual
LORI LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3986 N OCEANA DR, HART, MI 49420-8358
(231) 873-2193
(231) 873-4248
Mailing address
3986 N OCEANA DR, HART, MI 49420-8358
(231) 873-2193
(231) 873-4248
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704269946
MI
363LW0102X
Women's Health Nurse Practitioner
Primary
4704269946
MI
Other
Enumeration date
11/27/2012
Last updated
01/17/2013
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