Johnson, Lori L

Johnson, Lori L is an individual health care provider with primary practice located at 1720 S Cliff Ave , Sioux Falls SD 57105-2129. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Johnson, Lori L can be contacted via phone (605) 334-5630.

Contact Information

Primary practice address
1720 S Cliff Ave Sioux Falls SD 57105-2129
Phone: (605) 334-5630
Fax: (605) 332-5327
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1157 South Dakota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03352 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6924 Minnesota

Profile Details

NPI number 1619963766
LBN Legal business name Johnson, Lori L
Credentials PT, CLT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619963766 NPPES
South Dakota Other 244T0JO BLUE CROSS BLUE SHIELD MN
South Dakota MEDICAID 5833743 BLUE CROSS BLUE SHIELD MN
South Dakota MEDICAID 5833744 BLUE CROSS BLUE SHIELD MN
South Dakota Other 64-02620 BLUE CROSS BLUE SHIELD MN
South Dakota Other PT1157 BLUE CROSS BLUE SHIELD MN
South Dakota Other 4994827 BLUE CROSS BLUE SHIELD MN
South Dakota Other 4996128 BLUE CROSS BLUE SHIELD MN
South Dakota Other 596287 BLUE CROSS BLUE SHIELD MN
South Dakota Other 64-04051 BLUE CROSS BLUE SHIELD MN
South Dakota MEDICAID 5833740 BLUE CROSS BLUE SHIELD MN
South Dakota Other 64-03738 BLUE CROSS BLUE SHIELD MN
South Dakota Other 64-05327 BLUE CROSS BLUE SHIELD MN
South Dakota Other 20874 BLUE CROSS BLUE SHIELD MN
South Dakota Other 4997067 BLUE CROSS BLUE SHIELD MN
South Dakota MEDICAID 5833742 BLUE CROSS BLUE SHIELD MN

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