Laurence Mikkel Johansen in Elm Grove - Dietitian, Registered
Laurence Mikkel Johansen - NPI 1487841979
Laurence Mikkel Johansen is a Dietitian, Registered in Elm Grove, Wisconsin. Laurence Mikkel Johansen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Laurence Mikkel Johansen is 1487841979. The last update date is 2007-09-27.
Laurence Mikkel Johansen's current location address is 12425 Knoll Rd, Elm Grove, Wisconsin. You can contact this provider via phone number 2627809788. The mailing address for Laurence Mikkel Johansen is 12425 Knoll Rd, Elm Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurence Mikkel Johansen |
|---|---|
| Address | 12425 Knoll Rd, Elm Grove, Wisconsin |
| Phone Number | 2627809788 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, RD, CD |
NPI Number Detail
| NPI Number | 1487841979 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 12425 Knoll Rd |
|---|---|
| City | Elm Grove |
| State | Wisconsin (WI) |
| Post Code | 531222657 |
| Phone Number | 2627809788 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 2045-29 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identifier code issued to Laurence Mikkel Johansen by the Centers for Medicare & Medicaid Services (CMS)?
The Laurence Mikkel Johansen has been assigned the NPI (National Provider Identifier) 1487841979. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Laurence Mikkel Johansen?
The Laurence Mikkel Johansen is situated at 12425 Knoll Rd, in the city of Elm Grove, state of WI, with the zip code 531222657.
What is Laurence Mikkel Johansen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Laurence Mikkel Johansen is Dietitian, Registered, and the corresponding taxonomy classification code for this specialized field is 133V00000X.
On what date did Laurence Mikkel Johansen receive its 1487841979 assignment from the Centers for Medicare & Medicaid Services?
The Laurence Mikkel Johansen was assigned its 1487841979 on 2007-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Laurence Mikkel Johansen's information last updated?
The Laurence Mikkel Johansen's information was last updated on 2007-09-27.