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Individual

LAUREN PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
300 CALLEN BLVD STE 330, SUMMERVILLE, SC 29486-2816
(843) 789-1800
(843) 606-8036
Mailing address
PO BOX 632709, CINCINNATI, OH 45263-2709
(888) 472-0043
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
91350
SC
207VX0000X
Obstetrics Physician
U5375
TX
390200000X
Student in an Organized Health Care Education/Training Program
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
913505
SC
Enumeration date
03/28/2019
Last updated
06/09/2026
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