Individual
LAUREN MICHELE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1800 WALT WHITMAN RD, MELVILLE, NY 11747-3099
(631) 694-0005
(631) 694-0007
Mailing address
29 GLACIER DR, SMITHTOWN, NY 11787-2316
(631) 682-5871
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
046159-01
NY
Other
Enumeration date
09/21/2020
Last updated
08/08/2023
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