Lance Petersen is a Family Medicine in Powell, . Lance Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lance Petersen is 1245303429. The last update date is 2020-10-23.
Lance Petersen's current location address is 777 Avenue H, Powell, . You can contact this provider via phone number 3077542267 and fax number 3077547747. The mailing address for Lance Petersen is 777 Avenue H, Powell, . To know further, please read the information below!
Provider Profile Detail
Provider Name | Lance Petersen |
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Address | 777 Avenue H, Powell, |
Phone Number | 3077542267 |
Fax Number | 3077547747 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1245303429 |
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Provider Enumeration Date | 2006-11-16 |
Last Updated Date | 2020-10-23 |
Provider Mailing Address Detail
Address | 777 Avenue H |
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City | Powell |
State | (WY) |
Post Code | 824352260 |
Phone Number | 3077542267 |
Fax Number | 3077547747 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | MD00035749 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8232787 | WA | -- |
Post Comment/ Review Below
What is the Lance Petersen's unique identification number?
The Lance Petersen has been assigned the NPI (National Provider Identifier) Number 1245303429 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Lance Petersen is physically located?
The Lance Petersen is physically situated at the following address: 777 Avenue H, Powell, WY, 824352260.
What is the area of specialization for Lance Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lance Petersen is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Lance Petersen receive its 1245303429 assignment from the Centers for Medicare & Medicaid Services?
The Lance Petersen was assigned its 1245303429 by the Centers for Medicare & Medicaid Services on 2006-11-16.
When was the information regarding Lance Petersen most recently updated?
The details pertaining to the Lance Petersen, including its address, specialty, and other relevant information, were last refreshed on 2020-10-23.