Search › Idaho › 171M00000X
Lori Petersen
NPI 1225433956 · on the registry since 2014 · sole proprietor
Practice
- Address
- 518 S 13th St
Coeur D Alene, ID 83814 - Phone
- (509) 953-1000
- Fax
- (509) 458-6087
- Organisation at this address
- Lap Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Sex
- Female
- Record last updated
- 2014-10-23
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 Idaho