Individual
LACEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6579
Mailing address
4141 E DICKENSON PL, DENVER, CO 80222-6012
(303) 504-6579
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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