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NPI Code Detail

MEDICARE: LORI LOU SNOOK JOHNSTON

MEDICARE:   LORI LOU SNOOK JOHNSTON
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
1164W00000XLicensed Practical NurseLPN.132119.MEDS-IVOH

General Provider Information

NPI Number : 1487262010
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI LOU SNOOK JOHNSTON
Provider Business Mailing Address
First Line : 3000 SCHWEITZER RD
Second Line :
City : ROCK CREEK
State : OH
Zip : 44084-9504
Country : US
Telephone Number : 440-474-3493
Fax Number :
Provider Business Practice Location Address
First Line : 3000 SCHWEITZER RD
Second Line :
City : ROCK CREEK
State : OH
Zip : 44084-9504
Country : US
Telephone Number : 440-474-3493
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2020
Last Update Date : 07/20/2020

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Directions to “ LORI LOU SNOOK JOHNSTON ” Practice Location

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