Individual
LAUREN A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3039 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
(502) 451-4555
Mailing address
3039 BRECKENRIDGE LN, LOUISVILLE, KY 40220-2101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3008842
KY
363LF0000X
Family Nurse Practitioner
Primary
3008842
KY
Other
Enumeration date
08/05/2014
Last updated
09/30/2015
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