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Individual
LENNIE MICHELE PETERS
Active
Individual
LENNIE MICHELE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
71475
MD
213E00000X
Podiatrist
N006301-1
NY
Other
Enumeration date
06/09/2009
Last updated
02/10/2010
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