Doctor Name: | LAUREN JOHNSON |
NPI Number: | 1326456062 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 4600 Kietzke Ln Suite O-260 Reno, NV - 895025033 |
Business Phone Number: | 7758259995 |
Business Fax Number: | 7758259060 |
Mailing Address: | Po Box 554, GREENVILLE |
State: | CA |
Postal Code: | 959470554 |
Phone Number: | 5302847007 |
Fax Number: | 5302847111 |
NPI Enumeration Date: | 07/25/2014 |
NPI Last Update Date: | 07/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |