Individual
MRS. LINDA LAFONTAINE PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PRIMARY CARE NP
Contact information
Practice address
286 DEGO HILL ROAD, UNITED METHODIST HOMES HILLTOP CAMPUS, JOHNSON CITY, NY 13790
(607) 798-7818
(607) 798-9382
Mailing address
333 FREDERICKS RD, JOHNSON CITY, NY 13790-4310
(607) 862-9398
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3200581
NY
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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