Individual
LYNN JEFFREY KAY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
35062198
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
DR.0055021
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009203
BCBS ANTHEM
OH
05
—
0932923
—
OH
Enumeration date
01/09/2007
Last updated
06/23/2015
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