Individual
LUCILLE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306
(661) 326-2000
Mailing address
5428 COASTAL WIND ST, BAKERSFIELD, CA 93312-8226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001523
CA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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