Whalio Doctors

NPI 1023110640

Lars E Peterson, MD

Practitioner Internal Medicine Physician Laramie, WY

Practice location

Address
255 N 30th St, Laramie, WY 82072-5140
Phone
(307) 742-2141
Mailing address
320 S 7th St, Laramie, WY 82070-3822

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 6962A (WY)

Registry record

NPI
1023110640
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Sep 2006
Record last updated
31 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.