Individual
MR. LORNE ALLEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
800 11TH STREET, CHARLES CITY, IA 50616
(641) 228-6830
(641) 257-4395
Mailing address
800 11TH STREET, CHARLES CITY, IA 50616
(641) 228-6830
(641) 257-4395
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00506
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101733
—
IA
Enumeration date
11/07/2006
Last updated
07/08/2007
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