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General NPI Number Information
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NPI Number | 1679159834
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Entity Type | Individual
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Provider Name | LORI EILEEN JOHNSON CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 80 WYNTRE BROOKE DR
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City | YORK
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State | PA
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Zip | 17403-4535
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Country | US
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Telephone | 717-849-5589
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Fax | 717-472-8278
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Provider Business Mailing Address
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Address Line | 80 WYNTRE BROOKE DR
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City | YORK
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State | PA
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Zip | 17403-4535
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Country | US
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Telephone | 717-849-5589
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Fax | 717-472-8278
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | SP027041
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP027041
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | SP027041
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License Number State | PA
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