Individual
DR. LAURA SUSAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE ML 7009, CINCINNATI, OH 45229-3026
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVE ML 5021, CINCINNATI, OH 45229-3026
(513) 636-4225
(513) 636-2511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301105416
MI
208000000X
Pediatrics Physician
A149465
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.142997
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
A149465
CA
Other
Enumeration date
04/24/2013
Last updated
08/11/2021
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