LAWRENCE JOHANSEN

APPLETON, WI
NPI1417908955
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy152W00000X Optometrist
(Licence: WI  WI 2007)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
DR. LAWRENCE JOHANSEN O.D.
1000 W NORTHLAND AVE
APPLETON, WI 54914-1419
Phone number: 920-731-4511
Mailing Address
DR. LAWRENCE JOHANSEN O.D.
1000 W NORTHLAND AVE
APPLETON, WI 54914-1419
Phone number: 920-731-4511
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