Search › Oregon › 122400000X
Lillian Petersen, CDL, LD
NPI 1699198663 · on the registry since 2014 · sole proprietor
Practice
- Address
- 524 Laurel Street
Florence, OR 97439 - Phone
- (541) 997-6054
- Fax
- (541) 997-6054
- Organisation at this address
- Denture Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122400000X
122400000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-23
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 Oregon