NPI 1063746733

Lauren Peterson

Practitioner Contractor Tampa, FL

Practice location

Address: 4518 S Manhattan Ave, Tampa, FL 33611-2306
Phone: (813) 835-4591
Fax: (813) 832-3427

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1063746733
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Sep 2009
Record last updated: 28 Sep 2009

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.