Individual
LAURIE A JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
14060 O ST, OMAHA, NE 68137-1530
(402) 510-7670
Mailing address
14060 O ST, OMAHA, NE 68137-1530
(402) 510-7670
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
NE
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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