Mrs Lori Johnson, RD,LD is a
Dietitian, Registered based in Rupert, Idaho. Mrs Lori Johnson is licensed to practice in Idaho (license number D-438) and her current practice location is
1224 8th St, Rupert, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 436-0481.
NPI number for Mrs Lori Johnson is 1669578472 and her current mailing address is 239 N 200 W, Rupert, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669578472.
Healthcare Provider's Profile
Full Name | Mrs Lori Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 1224 8th St, Rupert, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669578472
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Lori Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669578472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | D-438 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lori Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lori Johnson, RD,LD 239 N 200 W, Rupert, ID 83350-9358 Ph: (208) 436-8355 | Mrs Lori Johnson, RD,LD 1224 8th St, Rupert, ID 83350-1527 Ph: (208) 436-0481 |
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