Individual
DR. JESSICA LYNN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
901 KENTUCKY ST STE 102, LAWRENCE, KS 66044-2853
(785) 856-5353
(785) 856-7630
Mailing address
901 KENTUCKY ST STE 102, LAWRENCE, KS 66044-2853
(785) 856-5353
(785) 856-7320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3329
NC
111N00000X
Chiropractor
Primary
4930
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
062152
BC&BS
KS
Enumeration date
07/17/2006
Last updated
07/08/2007
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