LAURIE JOHANSEN
Speech-Language Pathologist
Active
Individual
NPI: 1053824110
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes | 146.013245 (IL) |
Frequently Asked Questions
NPI 1053824110 is the National Provider Identifier for LAURIE JOHANSEN, a Speech-Language Pathologist provider located in Gages Lake, IL. This NPI was enumerated on November 13, 2017.
LAURIE JOHANSEN practices at 18160 W GAGES LAKE RD, Gages Lake, IL 60030.
Quick Facts
- NPI
- 1053824110
- Type
- Individual
- Enumerated
- Nov 13, 2017
- Last Updated
- Nov 13, 2017
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