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Individual

LARS ERIC PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 323-6371
Mailing address
2195 HARRODSBURG RD, LEXINGTON, KY 40504-3504
(859) 323-6371

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45333
KY

Other

Enumeration date
06/23/2009
Last updated
12/08/2016
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