Individual
DAISY ELIZABETH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2545 HIGHWAY 828, FARMERVILLE, LA 71241-5303
(318) 607-4393
Mailing address
2545 HIGHWAY 828, FARMERVILLE, LA 71241-5303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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