Individual
LOIS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
153 SUMMER ST, PROVIDENCE, RI 02903-4011
(401) 276-4300
(401) 331-3285
Mailing address
34 LORING PKWY, PAWTUCKET, RI 02861-3618
(401) 475-1788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN00050
RI
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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