Individual
LORRIE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2814 S BALTIMORE ST, KIRKSVILLE, MO 63501-4640
(660) 216-2082
Mailing address
2814 S BALTIMORE ST, KIRKSVILLE, MO 63501-4640
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2014032024
MO
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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