Individual provider · Type 1 NPI

Lilly Rose Johnson, LPN

Licensed Practical Nurse · Fort Leavenworth, KS

NPI number 1003898487 Active

Practice location

550 Pope Ave
Fort Leavenworth, KS 66027-2332

Mailing address

101 Liggett Ave
Fort Leavenworth, KS 66027-1228

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X0000062093 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003898487

Lilly Rose Johnson, LPN's National Provider Identifier is 1003898487, issued on Nov 18, 2005. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Leavenworth, KS. The record was last updated on Jul 8, 2007.