Individual
LEAH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 899-0174
Mailing address
1063 SUGARTREE DR S, LAKELAND, FL 33813-1867
(863) 899-0174
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9536577
FL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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