Individual
LORI EILEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 849-5589
(717) 472-8278
Mailing address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 849-5589
(717) 472-8278
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP027041
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP027041
PA
363LP2300X
Primary Care Nurse Practitioner
SP027041
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164409561
—
FL
Enumeration date
03/18/2021
Last updated
02/17/2025
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