Individual
LAUREN D JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60388816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922431543
—
WA
01
—
P01309868
RR MEDICARE
WA
Enumeration date
08/19/2013
Last updated
06/24/2014
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