# LORI KAY PETERS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114934684
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN655903 | PA | — |
| 363L00000X | Nurse Practitioner | R127498 | MD | Yes |

## Other

- **Enumeration date:** 08/01/2006
- **Last updated:** 05/28/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 072020800 | — | MD |
| 01 | — | P01278432 | RR MEDICARE | — |
| 01 | — | W2660035 | BLUE SHIELD | MD |