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Individual

LANEA D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1542 GOLF COURSE RD, SUITE 104, GRAND RAPIDS, MN 55744-3555
(218) 326-3300
(218) 326-3400
Mailing address
1542 GOLF COURSE RD, SUITE 104, GRAND RAPIDS, MN 55744-3555
(218) 326-3300
(218) 326-3400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102129
MN

Other

Enumeration date
07/01/2009
Last updated
07/14/2009
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