Individual
LORI A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2039
(603) 882-5656
Mailing address
8 PROSPECT ST, NASHUA, NH 03060-3925
(603) 577-2039
(603) 882-5656
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
069512-23
NH
363L00000X
Nurse Practitioner
214795
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN214795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110019301A
—
MA
Enumeration date
01/11/2007
Last updated
10/31/2024
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