Individual
DR. LAWRENCE C PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
759 CHESTNUT STREET S5632, SPRINGFIELD, MA 01199
(413) 794-4326
Mailing address
280 CHESTNUT STREET 2ND FLOOR, SPRINGFIELD, MA 01199
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
209052
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001329160
—
CT
05
—
1212249
—
MA
Enumeration date
10/05/2006
Last updated
06/08/2010
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