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Lori A. Johnson, PA
Medical Physician Assistant in Summerville, South Carolina
NPI 1437554425

Lori A. Johnson is a Medical Physician Assistant based in Charlotte, SC and is specialized in Medical. Lori A. Johnson practices in Summerville, SC and has the professional credentials of PA. The NPI Number for Lori A. Johnson is 1437554425 and holds a License No. 2171 (South Carolina).

The current practice location address for Lori A. Johnson is 1114 N Main St, Summerville, SC and can be reached out via phone at 843-212-8070. You can also correspond with Lori A. Johnson through the mailing address at PO BOX 751649, CHARLOTTE, NC - 28275-1649 (mailing address contact number: 843-789-1620).

Location: 1114 N Main St, Summerville, SC, 28275-1649
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Provider Profile Details
NPI Number
1437554425
Provider Name
Lori A. Johnson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1114 N Main St, Summerville, SC, 28275-1649
Phone Number
843-212-8070
Fax Number
Provider Enumeration Date
11/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2171 01 SC SC LICENSE
institution
Provider Business Practice Location Address Details
Address
1114 N Main St
City
State
Zip
29483-7326
Phone Number
843-212-8070
Fax Number
person
Provider Business Mailing Address Details
Address
1114 N Main St
City
State
Zip
29483-7326
Phone Number
843-212-8070
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2171 (South Carolina)
Definition
Definition to come...
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