Individual
LAURA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9293
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
(574) 272-9293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28087212A
IN
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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