Individual
LORI JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-8365
(715) 246-8298
Mailing address
1752 DORSET LN, NEW RICHMOND, WI 54017-2452
(715) 246-8365
(715) 246-8298
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
121689-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LW0102X
TAXONOMY
WI
Enumeration date
09/06/2006
Last updated
03/25/2016
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