MRS. Lori Johnson, R.D.,L.D

NPI #1669578472 in Rupert, Idaho

Provider Information

NPI Number
1669578472
Entity Type
Individual
Name
MRS. Lori Johnson, R.D.,L.D
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
R.D.,L.D
Enumeration Date
Sep 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1224 8TH ST
City
Rupert
State
Idaho
ZIP Code
83350-1527
Phone
(208) 436-0481

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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