Laura Johansen, MS, RD, LMNT | |
3410 N 156th St, Omaha, NE 68116-2020 | |
(402) 493-0390 | |
Not Available |
Full Name | Laura Johansen |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3410 N 156th St, Omaha, Nebraska |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437561511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1140 (Nebraska) | Primary |
Provider Name | Hy-vee Health Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184498990 PECOS PAC ID: 1254701618 Enrollment ID: O20231211001632 |
Mailing Address | Practice Location Address |
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Laura Johansen, MS, RD, LMNT 3410 N 156th St, Omaha, NE 68116-2020 Ph: () - | Laura Johansen, MS, RD, LMNT 3410 N 156th St, Omaha, NE 68116-2020 Ph: (402) 493-0390 |
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