SearchWisconsinRegistered Dietitian

Laurence Johansen, MS, RD, CD

NPI 1487841979 · on the registry since 2007 · sole proprietor

Practice

Address
12425 Knoll Rd
Suite 110
Elm Grove, WI 53122
Phone
(262) 780-9788
Organisation at this address
Ad Astra Therapy Llc
Functional Symmetry, Llc
Cornerstone Caregiving East Llc
Patchwork Counseling Collective Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Registered Dietitian
133V00000X
Also registered as
Registered Dietitian
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-09-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin