Individual
LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25601 N LAKELAND BLVD APT 106B, EUCLID, OH 44132-2498
(216) 857-9831
Mailing address
25601 N LAKELAND BLVD APT 106B, EUCLID, OH 44132-2498
(216) 857-9831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1824431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1824431
—
OH
Enumeration date
11/18/2020
Last updated
11/18/2020
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