Individual
PETER SEVIGNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3502 9TH ST, STE 170, LUBBOCK, TX 79415-3300
(806) 744-0566
(806) 744-7252
Mailing address
5219 CITY BANK PKWY, STE 35, LUBBOCK, TX 79407-3544
(806) 785-7676
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
620139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143762602
—
TX
Enumeration date
04/25/2006
Last updated
03/10/2011
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