Individual provider · Type 1 NPI
Laurence Mikkel Johansen, MS, RD, CD
Registered Dietitian · Elm Grove, WI
Practice location
12425 Knoll Rd, Suite 110
Elm Grove, WI 53122-2657
Mailing address
W137N6915 Manor Hills Blvd
Menomonee Falls, WI 53051-5272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Dietitian Primary | 133V00000X | 2045-29 (WI) |
| Registered Dietitian | 133V00000X | 963363 |
Registered Dietitian: 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 the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…
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About NPI 1487841979
Laurence Mikkel Johansen, MS, RD, CD's National Provider Identifier is 1487841979, issued on Sep 27, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Elm Grove, WI. The record was last updated on Sep 27, 2007.