Search › Wisconsin › 133V00000X
Laurence Johansen, MS, RD, CD
NPI 1487841979 · on the registry since 2007 · sole proprietor
Practice
- Address
- 12425 Knoll Rd
Suite 110
Elm Grove, WI 53122 - Phone
- (262) 780-9788
- Organisation at this address
- Ad Astra Therapy Llc
Functional Symmetry, Llc
Cornerstone Caregiving East Llc
Patchwork Counseling Collective LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Also registered as
- 133V00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin