Individual
LAURA CATHERINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6845 LEE AVE N, BROOKLYN CENTER, MN 55429-1717
(952) 967-6818
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67950
MN
Other
Enumeration date
04/09/2019
Last updated
08/09/2022
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