Johnson, Lori A.

Johnson, Lori A. is an individual health care provider with primary practice located at 1114 N Main St , Summerville SC 29483-7326. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Johnson, Lori A. can be contacted via phone (843) 212-8070.

Contact Information

Primary practice address
1114 N Main St Summerville SC 29483-7326
Phone: (843) 212-8070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2171 South Carolina

Profile Details

NPI number 1437554425
LBN Legal business name Johnson, Lori A.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437554425 NPPES
South Carolina Other 2171 SC LICENSE

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