Laurie Johnson

NPI #1144468653 in Wausau, Wisconsin

Provider Information

NPI Number
1144468653
Entity Type
Individual
Name
Laurie Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Enumeration Date
Jan 22, 2009
Last Updated
Jan 22, 2009

Practice Location

Address
413 N 17TH AVE
City
Wausau
ZIP Code
54401-4226
Phone
(715) 842-4649

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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