| Doctor Name: | MRS. LORENA ANN JOHNSON |
| NPI Number: | 1295902799 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 3103292 |
| Business Practice Address: | 3425 Nicholson Estates Rd Pace, FL - 325719440 |
| Business Phone Number: | 8509947755 |
| Business Fax Number: | |
| Mailing Address: | 3425 Nicholson Estates Rd, PACE |
| State: | FL |
| Postal Code: | 325719440 |
| Phone Number: | 8509947755 |
| Fax Number: | |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH1000X |
| License Number: | 3103292 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Hospice |
| Taxonomy Definition: | |