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NPI Code Detail

MEDICARE: LAUREN JOHNS

MEDICARE:   LAUREN  JOHNS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2405145OH
2104100000XSocial WorkerS.2005602OH
3104100000XSocial WorkerI.2405145

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790277747
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN JOHNS
Provider Business Mailing Address
First Line : 134 ELM AVE
Second Line :
City : ARLINGTON HEIGHTS
State : OH
Zip : 45215
Country : US
Telephone Number : 513-206-7315
Fax Number : 513-206-7316
Provider Business Practice Location Address
First Line : 134 ELM AVE
Second Line :
City : ARLINGTON HEIGHTS
State : OH
Zip : 45215
Country : US
Telephone Number : 513-206-7315
Fax Number : 513-206-7316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 09/12/2024

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