Individual
LAURIE LEE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
603 W BASELINE RD STE 200, MESA, AZ 85210-6047
(480) 461-1088
(480) 461-1657
Mailing address
3020 E CAMELBACK RD STE 301, PHOENIX, AZ 85016-4418
(602) 264-9100
(602) 264-9101
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3166
AZ
Other
Enumeration date
04/03/2006
Last updated
11/27/2023
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