Individual
LORI K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 HIGHWAY 105, MONUMENT, CO 80132-9122
(719) 488-9860
(719) 488-9868
Mailing address
550 HIGHWAY 105, MONUMENT, CO 80132-9122
(719) 488-9860
(719) 488-9868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
94098
CO
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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