Individual
MS. LORI A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1106 N MERCHANT ST, EFFINGHAM, IL 62401-2128
(217) 342-7000
(217) 342-7002
Mailing address
1106 N MERCHANT ST, P.O. BOX 665, EFFINGHAM, IL 62401-2128
(217) 342-7000
(217) 342-7002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-245291
IL
363L00000X
Nurse Practitioner
Primary
209-000472
IL
Other
Enumeration date
10/04/2006
Last updated
11/22/2021
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