| Doctor Name: | MRS. LORI JOHNSON |
| NPI Number: | 1669578472 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D.,L.D |
| License Number: | D-438 |
| Business Practice Address: | 1224 8th St Rupert, ID - 833501527 |
| Business Phone Number: | 2084360481 |
| Business Fax Number: | 2084366038 |
| Mailing Address: | 239 N 200 W, RUPERT |
| State: | ID |
| Postal Code: | 833509358 |
| Phone Number: | 2084368355 |
| Fax Number: | 2084366038 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | D-438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |