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Contact Information

LORA B JOHNSON, ATC, CLT, MS
27 GREEN MOUNTAIN DR UNIT 306
SOUTH BURLINGTON, VT05403-7965
 Phone: 802-249-2909
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for LORA B JOHNSON · (Female)

NPI Number 1518395326
Status Active
Credentials ATC, CLT, MS
Entity Individual
Enumeration date 10/15/2013
Last updated 11/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • VT License # 080302236
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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