Individual
DR. LON B. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200
(651) 480-4306
Mailing address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200
(651) 480-4306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30170
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-00067
MEDICA
MN
01
—
080108727
RAILROAD MEDICARE
MN
01
—
100055
UCARE MINNESOTA
MN
01
—
31362000
MEDICAID WI
MN
01
—
4K544PE
BLUE CROSS
MN
05
—
507782600
—
MN
01
—
66-02249
MEDICA URGENT CARE
MN
01
—
FP9703
AMERICAS PPO
MN
01
—
HP16949
HEALTH PARTNERS
MN
01
—
NA9141001149
PREFERRED ONE
MN
Enumeration date
03/17/2006
Last updated
11/10/2020
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