Laura Johansen, MS, RD, LMNT
Dietitian, Registered in Omaha, NE. Individual provider (NPI-1).
NPI number1437561511
StatusActive
Last updated in NPPESDec 30, 2015
Details
- NPI
- 1437561511
- Entity type
- Individual (NPI-1)
- Name
- Laura Johansen
- Credential
- MS, RD, LMNT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 23, 2014
- Last updated
- Dec 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1140 | NE | Yes |
Practice location
3410 N 156th StOmaha, NE 68116-2020
Phone 402-493-0390
Mailing address
3410 N 156th StOmaha, NE 68116-2020
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