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LAURENCE MIKKEL JOHANSEN MS, RD, CD
NPI 1487841979
Dietitian, Registered in Elm Grove, WI

Active since September 27, 2007
12425 KNOLL RD, SUITE 110, ELM GROVE, WI 53122(262) 780-9788 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laurence Mikkel Johansen Ms, Rd, Cd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURENCE MIKKEL JOHANSEN MS, RD, CD (NPI 1487841979) is an individual dietitian, registered in Elm Grove, Wisconsin, licensed in Wisconsin (2045-29) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1487841979
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameLAURENCE MIKKEL JOHANSENCredential: MS, RD, CD
Location Address12425 KNOLL RD, SUITE 110Elm Grove, WI 53122-2657
Mailing AddressW137n6915 Manor Hills BlvdMenomonee Falls, WI 53051-5272 · (262) 532-0293
Phone(262) 780-9788
Sole ProprietorYes
Enumeration DateSeptember 27, 2007
✔ NPI 1487841979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in WI · 2045-29✔ Licensed · 963363
Definition
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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
12425 KNOLL RD, Elm Grove, WI 53122
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Other Names 1

Professional Name (2)Larry Johansen Ms, Rd, Cd

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARY ELIZABETH AMUNSON LPC
Counselor (Professional)
12425 KNOLL RD, STE 110 WEST GROVE CLINIC
ELM GROVE, WI 53122
Waukesha County (262) 780-9788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laurence Johansen's NPI number?

The NPI number for Laurence Johansen is 1487841979. It was assigned to this individual provider in the NPPES registry on September 27, 2007. The provider is also known as Larry Johansen Ms, Rd, Cd.

Where is Laurence Johansen located?

Laurence Johansen practices at 12425 Knoll Rd Suite 110, Elm Grove, WI 53122. The listed phone number is (262) 780-9788.

What is Laurence Johansen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Laurence Johansen was last updated on September 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.