NPI 1417511536
Laura Johnson, MSGC
Practice location
- Address
- 217 S Madison St, Traverse City, MI 49684-2320
- Phone
- (231) 392-8400
- Fax
- (231) 392-8467
- Mailing address
- 2513 Momentum Pl, Chicago, IL 60689-5325
Registered specialties
Genetic Counselor (M.S.)
Primary
Registry record
- NPI
- 1417511536
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Apr 2019
- Record last updated
- 24 Apr 2019
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.