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Individual

LAUREN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1109 FRONTIER CIR E, SUITE B, LAKE STEVENS, WA 98258-3442
(425) 377-1290
Mailing address
11711 NE 12TH ST, SUITE 3A, BELLEVUE, WA 98005-2461
(425) 450-9474

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60477739
WA

Other

Enumeration date
07/28/2014
Last updated
07/28/2014
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