Individual
RENEE M JOHANNENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
(802) 674-7314
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
13120
NH
207V00000X
Obstetrics & Gynecology Physician
263512
NY
207VX0000X
Obstetrics Physician
Primary
042-0011195
VT
Other
Enumeration date
11/17/2006
Last updated
03/30/2018
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