Lori Johnson PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Lori Johnson PA-C
NPI Number
1730591264
NPI Type
Individual Provider
Gender
Female
Enumeration Date
06/02/2014
Specialties
(Taxonomies)Licenses
State
Florida
New York
Virginia
License Number
PA3328
004939-1
0110004445
Contact
Information
Purpose
Mailing
Location
Address
3386 LAUREL GRV S
3386 LAUREL GRV S
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32223-7816
32223-7816
Country
US
US
Telephone Number
(904) 613-7910
(904) 613-7910
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/02/2014