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Individual
DR. LANE C PETERSON
Active
Individual
DR. LANE C PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
05-34066
KS
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS17115
FL
Other
Enumeration date
07/31/2006
Last updated
10/10/2024
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