Individual
JAMES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 E 5TH ST, LEXINGTON, NE 68850-2110
(308) 324-6754
(308) 324-5118
Mailing address
PO BOX 519, LEXINGTON, NE 68850-0519
(308) 324-6754
(308) 324-5118
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
11/23/2021
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