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LORE JOHNS L.P.N.
>> Licensed Practical Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1013312420
Individual Registrant: LORE JOHNS L.P.N.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
5683 US HIGHWAY 129 S JASPER, FL 32052-6793 US
Tel: 386-792-6540 Fax: --
Tel: 386-792-6540 Fax: --
Contact information for business:
209 CENTRAL AVE SE JASPER, FL 32052-6153 US
Tel: 386-792-1414 Fax: --
Tel: 386-792-1414 Fax: --
Registration Information:
NPI: 1013312420
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | FL | PN 5206079 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
