Individual
DANIELLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
568 W SHORT ST, LEXINGTON, KY 40507-1255
(419) 376-2747
Mailing address
568 W SHORT ST, LEXINGTON, KY 40507-1255
(419) 376-2747
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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