Individual
LAURA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 BITTERBUSH WAY, COLORADO SPRINGS, CO 80920
(719) 502-1477
Mailing address
8520 BITTERBUSH WAY, COLORADO SPRINGS, CO 80920
(719) 502-1477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10235
CO
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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