Individual
LAURA LYNNE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 QUEEN STREET, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 661-3046
Mailing address
10 CENTRAL ST, SOUTHBOROUGH, MA 01772-1626
(508) 229-0668
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
73351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073351
TUFTS
—
05
—
3073530
—
MA
01
—
44563
HP
—
01
—
J10680
BLUE SHIELD
—
Enumeration date
03/27/2006
Last updated
05/11/2026
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