Laurie Johansen
NPI #1053824110 in Gages Lake, Illinois
Provider Information
- NPI Number
- 1053824110
- Entity Type
- Individual
- Name
- Laurie Johansen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Nov 13, 2017
- Last Updated
- Nov 13, 2017
Practice Location
- Address
- 18160 W GAGES LAKE RD
- City
- Gages Lake
- State
- Illinois
- ZIP Code
- 60030-1819
- Phone
- (847) 986-2524
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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