NPI 1144468653

Laurie Johnson

Practitioner Dental Hygienist Wausau, WI

Practice location

Address: 413 N 17th Ave, Wausau, WI 54401-4226
Phone: (715) 842-4649

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5064 (WI)

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Registry record

NPI: 1144468653
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2009
Record last updated: 22 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.