Individual
LORENE DAWN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4311 N CASS LN, MILL CREEK, OK 74856-5628
(580) 371-1605
Mailing address
4311 N CASS LN, MILL CREEK, OK 74856-5628
(580) 371-1605
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
02/21/2025
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