# DR. LON B. PETERSON

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

## Provider details

- **NPI number:** 1538138821
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30170 | MN | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 11/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01-00067 | MEDICA | MN |
| 01 | — | 080108727 | RAILROAD MEDICARE | MN |
| 01 | — | 100055 | UCARE MINNESOTA | MN |
| 01 | — | 31362000 | MEDICAID WI | MN |
| 01 | — | 4K544PE | BLUE CROSS | MN |
| 05 | — | 507782600 | — | MN |
| 01 | — | 66-02249 | MEDICA URGENT CARE | MN |
| 01 | — | FP9703 | AMERICAS PPO | MN |
| 01 | — | HP16949 | HEALTH PARTNERS | MN |
| 01 | — | NA9141001149 | PREFERRED ONE | MN |