Lisa Jo Petersen in Wenatchee - Family Medicine
Lisa Jo Petersen - NPI 1184620957
Lisa Jo Petersen is a Family Medicine in Wenatchee, Washington. Lisa Jo Petersen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lisa Jo Petersen is 1184620957. The last update date is 2010-06-25.
Lisa Jo Petersen's current location address is 933 Red Apple Rd Ste D, Wenatchee, Washington. You can contact this provider via phone number 5096656125 and fax number 5096656124. The mailing address for Lisa Jo Petersen is 933 Red Apple Rd Ste D, Wenatchee, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Jo Petersen |
|---|---|
| Address | 933 Red Apple Rd Ste D, Wenatchee, Washington |
| Phone Number | 5096656125 |
| Fax Number | 5096656124 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184620957 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | 933 Red Apple Rd Ste D |
|---|---|
| City | Wenatchee |
| State | Washington (WA) |
| Post Code | 988013370 |
| Phone Number | 5096656125 |
| Fax Number | 5096656124 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00033127 |
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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 |
|---|---|---|---|
| 8192262 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Lisa Jo Petersen?
The Lisa Jo Petersen has been issued the NPI (National Provider Identifier) 1184620957 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Lisa Jo Petersen is physically located?
The Lisa Jo Petersen is situated at the following address: 933 Red Apple Rd Ste D, Wenatchee, WA 988013370.
What is Lisa Jo Petersen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa Jo Petersen is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Lisa Jo Petersen receive its 1184620957 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Jo Petersen was assigned its 1184620957 on 2005-06-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lisa Jo Petersen's details last updated?
The information pertaining to the Lisa Jo Petersen, including its address, specialty, and other details, was most recently updated on 2010-06-25.
NPI Number: 1063415297
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