Individual
LORI DELIGHT JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1420 ROOSEVELT AVE STE 7, MOUNT VERNON, WA 98273-2687
(360) 941-0505
(360) 399-7484
Mailing address
2118 RIVERSIDE DR, STE 105, MOUNT VERNON, WA 98273-5454
(360) 424-6104
(360) 424-6009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00001908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08945
REGENCE BLUE SHIELD
WA
01
—
70773
LABOR & INDUSTRIES
WA
Enumeration date
06/24/2005
Last updated
07/21/2022
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