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NPI Code Detail

MEDICARE: MS. LORI RUTH JOHNSON MA/CCC-SLP

MEDICARE: MS. LORI RUTH JOHNSON MA/CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist8123NC

General Provider Information

NPI Number : 1639461353
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI RUTH JOHNSON MA/CCC-SLP
Provider Business Mailing Address
First Line : 23 SIDNEY MARIE CT
Second Line :
City : GREENSBORO
State : NC
Zip : 27407-6473
Country : US
Telephone Number : 336-580-4845
Fax Number :
Provider Business Practice Location Address
First Line : 1114 EASTCHESTER DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-3114
Country : US
Telephone Number : 336-802-1007
Fax Number : 336-888-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2011
Last Update Date : 04/14/2026

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Directions to “ MS. LORI RUTH JOHNSON MA/CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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