Lauris J Petersen in Glenville - Family Medicine
Lauris J Petersen - NPI 1629152301
Lauris J Petersen is a Family Medicine in Glenville, New York. Lauris J Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lauris J Petersen is 1629152301. The last update date is 2007-07-08.
Lauris J Petersen's current location address is 15 Glenridge Rd, Glenville, New York. You can contact this provider via phone number 5183990909 and fax number 5183992640. The mailing address for Lauris J Petersen is 15 Glenridge Rd, Glenville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lauris J Petersen |
|---|---|
| Address | 15 Glenridge Rd, Glenville, New York |
| Phone Number | 5183990909 |
| Fax Number | 5183992640 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629152301 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15 Glenridge Rd |
|---|---|
| City | Glenville |
| State | New York (NY) |
| Post Code | 123024520 |
| Phone Number | 5183990909 |
| Fax Number | 5183992640 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 213320 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 491234003 | NY | BLUE SHIELD OF NENY | |
| 76V271 | NY | EMPIRE BLUE | |
| 10031080 | NY | CDPHP | |
| 714547 | NY | MVP | |
| P00315575 | NY | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lauris J Petersen by the Centers for Medicare & Medicaid Services?
The Lauris J Petersen has been issued the NPI (National Provider Identifier) 1629152301, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Lauris J Petersen is located?
The Lauris J Petersen is situated at the following address: 15 Glenridge Rd, Glenville, NY, 123024520.
What is the Lauris J Petersen's area of specialization and corresponding taxonomy classification?
The Lauris J Petersen's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1629152301 assigned to Lauris J Petersen?
The Lauris J Petersen was issued its 1629152301 on 2006-10-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Lauris J Petersen, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lauris J Petersen, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.