Individual
LAURA MARIE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8330 CHENEY RIDGE RD APT 439, LINCOLN, NE 68516-3820
(402) 730-6854
Mailing address
8330 CHENEY RIDGE RD APT 439, LINCOLN, NE 68516-3820
(402) 730-6854
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
30423
NE
Other
Enumeration date
06/26/2012
Last updated
10/24/2018
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