MISS Lori Karina Johannessen, ATC, LAT
NPI #1841291366 in New Bedford, Massachusetts
Provider Information
- NPI Number
- 1841291366
- Entity Type
- Individual
- Name
- MISS Lori Karina Johannessen, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Aug 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 101 PAGE ST
- City
- New Bedford
- State
- Massachusetts
- ZIP Code
- 02740-3464
- Phone
- (508) 971-5155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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