Individual
DR. LAWRENCE STEPHEN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE, #305, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 370-8704
Mailing address
4660 KENMORE AVE, #305, ALEXANDRIA, VA 22304-1313
(703) 751-5763
(703) 370-8704
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101027484
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6079954
—
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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