Individual
LAUREL LORRAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11900 BEACON AVE S, SEATTLE, WA 98178-2811
(206) 772-6900
Mailing address
2603 29TH AVE W, SEATTLE, WA 98199-3325
(360) 632-4481
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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