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Individual

LAUREN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
16521 W 159TH ST, LOCKPORT, IL 60441-7900
(815) 469-1500
Mailing address
16521 W 159TH ST # 81546915, LOCKPORT, IL 60441-7900
(815) 469-1500

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009753
IL
225X00000X
Occupational Therapist
OTR2565
AR

Other

Enumeration date
11/09/2012
Last updated
12/16/2022
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