NPI 1053755561

Laura Peterson

Practitioner Specialist Colorado Springs, CO

Practice location

Address: 8520 Bitterbush Way, Colorado Springs, CO 80920
Phone: (719) 502-1477

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 10235 (CO)

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Registry record

NPI: 1053755561
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2013
Record last updated: 26 Apr 2013

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.