Individual
LAUREN ANNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
(612) 273-4098
Mailing address
740 VICTORIA ST S # B128, SAINT PAUL, MN 55102-4271
(218) 821-1660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/28/2020
Last updated
04/13/2020
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