Individual
MS. LAUREN K JOHNSON
Active
Individual
MS. LAUREN K JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
070.020630
IL
2251P0200X
Pediatric Physical Therapist
Primary
070020630
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403
PHYSICAL THERAPY LICENSE
ME
Enumeration date
04/14/2006
Last updated
03/17/2018
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