Provider Demographics
NPI:1740600113
Name:JOHNSON, LAUREN CALABRA (DC)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:CALABRA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 DIVISION ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-4000
Mailing Address - Country:US
Mailing Address - Phone:615-620-0904
Mailing Address - Fax:615-815-3141
Practice Address - Street 1:1200 DIVISION ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-4000
Practice Address - Country:US
Practice Address - Phone:615-620-0904
Practice Address - Fax:615-815-3141
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2747111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor