Lora Lea Johnson, FNP
Nurse Practitioner, Family in Blue Springs, MO. Individual provider (NPI-1).
NPI number1265798482
StatusActive
Last updated in NPPESOct 7, 2021
Details
- NPI
- 1265798482
- Entity type
- Individual (NPI-1)
- Name
- Lora Lea Johnson
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2012
- Certification date
- Oct 7, 2021
- Last updated
- Oct 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2012008582 | MO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 75651 | KS |
Other names
- Lora Lea Sander (Former Name)
Practice location
3201 S 7 HwyBlue Springs, MO 64014-5301
Phone 866-389-2727
Mailing address
3201 S 7 HwyBlue Springs, MO 64014-5301
Phone 866-389-2727
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