| Dr Lori R Johnson, MD | |
|
1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | |
| (318) 798-4573 | |
| (318) 798-4651 |
| Full Name | Dr Lori R Johnson |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 33 Years |
| Location | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386648129 | NPI | - | NPPES |
| 1486957 | Medicaid | LA | |
| 1053315846 | Other | LA | GROUP NPI NUMBER |
| 030005408 | Other | LA | RAILROAD MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | 023711 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Highland Clinic, A Prof Med Corp | 3870493463 | 55 |
| Entity Name | Highland Clinic, A Prof Med Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053315846 PECOS PAC ID: 3870493463 Enrollment ID: O20040220000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lori R Johnson, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4573 | Dr Lori R Johnson, MD 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 Ph: (318) 798-4573 |
Ioannis A. Moissidis, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 850 Olive St, Suite B, Shreveport, LA 71104 Phone: 318-221-3584 Fax: 318-227-9094 | |
Priyal Upadhyay, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2530 Bert Kouns Industrial Loop Ste 115, Shreveport, LA 71118 Phone: 318-212-4824 Fax: 318-212-5994 | |
David A Kaufman, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 463 Ashley Ridge Blvd, Ste 100, Shreveport, LA 71106 Phone: 318-221-3584 Fax: 318-227-9094 | |
Dr. Steven C Whited, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 955 Oneonta St, Shreveport, LA 71106 Phone: 318-423-5260 | |
Gonzalo Alvarez Del Real, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Industrial Loop # 108, Shreveport, LA 71105 Phone: 318-798-4544 Fax: 318-798-4557 | |
Dr. Caroline Virginia Caperton, M.D., M.S.P.H. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2530 Bert Kouns Industrial Loop Ste 112, Shreveport, LA 71118 Phone: 318-212-4824 |