Individual
DR. LORI S JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3300 W PURDUE, MUNCIE, IN 47304
(765) 287-8579
(765) 287-8159
Mailing address
3300 W PURDUE, MUNCIE, IN 47304
(765) 287-8579
(765) 287-8159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003336A
IN
152W00000X
Optometrist
Primary
18003336B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387321
BCBS
IN
05
—
200532270
—
IN
Enumeration date
01/27/2006
Last updated
02/19/2008
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