Lori Johnson PA-C

NPI 1730591264 - Physician Assistant - 363A00000X

NPI Details
NPI 1730591264
Gender Female
Enumeration Date 06/02/2014
Last Updated 06/02/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3386 LAUREL GRV S
JACKSONVILLE FL, 32223-7816, US
Phone (904) 613-7910
Fax
Business Location
3386 LAUREL GRV S
JACKSONVILLE FL, 32223-7816, US
Phone (904) 613-7910
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Virginia
License Number 0110004445
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According to our database, Lori Johnson PA-C NPI is 1730591264, taxonomy code is 363A00000X and license number is 0110004445, license state is located at Virginia. Lori Johnson PA-C physically located at 3386 Laurel Grv S, Jacksonville FL, 32223-7816. NPI Number Lori Johnson PA-C has the Individual type.

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1730591264 NPI number is provided on an as is basis without warranty of any kind. 1730591264 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Johnson PA-C are for informational purposes only.