Laurence Mikkel Johansen, MS, RD, CD
Laurence Mikkel Johansen, MS, RD, CD is a Registered Dietitian in Elm Grove, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
12425 Knoll Rd Ste 110Elm Grove, WI 53122-2657
Phone: (262) 780-9788
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 2045-29 (WI) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence 963363 |
Record details
| NPI number | 1487841979 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MS , RD , CD |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2007 |
| Last updated in NPPES | September 27, 2007 |
Other providers in Elm Grove
-
Samantha Faye Kuspa, RDN, CD, LD
890 Elm Grove Rd Ste 100, Elm Grove, WI 53122-2528 · (262) 352-6050