SearchIdaho171100000X

Lori Peterson

NPI 1831850098 · on the registry since 2022 · sole proprietor

Practice

Address
1918 S Arcadia St
Boise, ID 83705
Phone
(206) 999-8378

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-01-09

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