Individual
LORI PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1918 S ARCADIA ST, BOISE, ID 83705
(206) 999-8378
Mailing address
1918 S ARCADIA ST, BOISE, ID 83705
(206) 999-8378
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU368
ID
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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