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Individual

DR. LANE C PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
27810 SUMMERGATE BLVD, WESLEY CHAPEL, FL 33544-6919
(813) 388-2948
(813) 388-6827
Mailing address
27810 SUMMERGATE BLVD, WESLEY CHAPEL, FL 33544-6919

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
05-34066
KS
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
OS17115
FL

Other

Enumeration date
07/31/2006
Last updated
10/10/2024
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