Search › Colorado › 207R00000X
Lyle Petersen, M.D
NPI 1952403131 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1209 Maren Cove
Fort Collins, CO 80525 - Phone
- (970) 221-6428
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Colorado