Individual
MRS. LORI LETITIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1853 OCONNELL BLVD, BLDG. 1042, FORT CARSON, CO 80913-4055
(719) 524-4395
(719) 526-4747
Mailing address
571 TAMARRON DR, COLORADO SPRINGS, CO 80919-2023
(719) 524-4395
(719) 526-4747
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
120460
CO
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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