Individual
LAUREN LEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2425 W PRATT BLVD, CHICAGO, IL 60645-4665
(773) 338-5437
Mailing address
2425 W PRATT BLVD, CHICAGO, IL 60645-4665
(773) 338-5437
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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