Individual
MS. LAUREN C JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
3008 N 77TH ST, MILWAUKEE, WI 53222-5018
(262) 894-3529
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
5767
WI
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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