Individual
LAURA MARIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E NORFOLK AVE STE 118, NORFOLK, NE 68701-5323
(402) 370-4204
Mailing address
105 E NORFOLK AVE STE 118, NORFOLK, NE 68701-5323
(402) 370-4204
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
11/07/2018
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