Individual
LANSDALE JOHN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
1231 KENDRICK CT, CORONA, CA 92881-8226
(951) 582-9914
Mailing address
1231 KENDRICK CT, CORONA, CA 92881-8226
(951) 582-9914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA18710
CA
Other
Enumeration date
08/06/2007
Last updated
11/29/2021
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