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Individual

DR. LISA JO PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
933 RED APPLE RD STE D, CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER, WENATCHEE, WA 98801-3370
(509) 665-6125
(509) 665-6124
Mailing address
933 RED APPLE RD STE D, CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER, WENATCHEE, WA 98801-3370
(509) 665-6125
(509) 665-6124

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033127
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8192262
WA
Enumeration date
06/24/2005
Last updated
06/25/2010
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