Individual
MRS. LAKEDRA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2550 S PARKER RD # S400, AURORA, CO 80014-1622
(303) 636-3034
Mailing address
2550 S PARKER RD STE 3, DENVER, CO 80014-1622
(314) 327-5305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1643630
CO
Other
Enumeration date
01/24/2019
Last updated
02/17/2019
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