MEDICARE: LORRAINE JOHNSON

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
1	367500000X	Certified Registered Nurse Anesthetist	APRN9316524	FL
2	367500000X	Certified Registered Nurse Anesthetist	RN167036	GA

General Provider Information

NPI Number	:	1366585093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORRAINE JOHNSON

Provider Business Mailing Address
First Line	:	1080 WILKINSON RD
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-5960
Country	:	US
Telephone Number	:	610-703-7425
Fax Number	:

Provider Business Practice Location Address
First Line	:	1080 WILKINSON RD
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-5960
Country	:	US
Telephone Number	:	610-703-7425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	02/02/2026

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Directions to “ LORRAINE JOHNSON ” Practice Location

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