Individual
LORI JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
675 JUSTICE WAY, INDIANAPOLIS, IN 46203-1574
(804) 404-6270
Mailing address
3540 PUMP RD STE 1188, RICHMOND, VA 23233-1115
(804) 404-6270
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006065A
IN
Other
Enumeration date
01/04/2016
Last updated
03/04/2024
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