Individual
DR. EMILY LARA PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR STE 375, COEUR D ALENE, ID 83814-4401
(208) 625-6100
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6027146-1205
UT
207RN0300X
Nephrology Physician
Primary
M-11299
ID
Other
Enumeration date
03/13/2007
Last updated
07/22/2025
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