NPI 1225433956
Lori Petersen
Practice location
- Address
- 518 S 13th St, Coeur D Alene, ID 83814-3919
- Phone
- (509) 953-1000
- Fax
- (509) 458-6087
- Mailing address
- PO Box 2145, Spokane, WA 99210-2145
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1225433956
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Oct 2014
- Record last updated
- 23 Oct 2014
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.