Individual
MISS LAUREN MARY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, ARRT (MRI)
Contact information
Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-5594
Mailing address
13809 N 49TH AVE, GLENDALE, AZ 85306-4922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0415
AZ
Other
Enumeration date
10/25/2005
Last updated
04/17/2025
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