Lena Carolyn Peterson in Libertyville - Pediatrics

Lena Carolyn Peterson - NPI 1710158563

Lena Carolyn Peterson is a Pediatrics in Libertyville, Illinois. Lena Carolyn Peterson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lena Carolyn Peterson is 1710158563. The last update date is 2008-03-20.

Lena Carolyn Peterson's current location address is 1860 W Winchester Rd, Libertyville, Illinois. You can contact this provider via phone number 8475739486 and fax number 8475496139. The mailing address for Lena Carolyn Peterson is 1860 W Winchester Rd, Libertyville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Lena Carolyn Peterson
Address 1860 W Winchester Rd, Libertyville, Illinois
Phone Number 8475739486
Fax Number 8475496139
Sole Proprietor N
Credentials MS, OTR/L

NPI Number Detail

NPI Number 1710158563
Provider Enumeration Date 2008-03-20
Last Updated Date 2008-03-20

Provider Mailing Address Detail

Address 1860 W Winchester Rd
City Libertyville
State Illinois (IL)
Post Code 600485351
Phone Number 8475739486
Fax Number 8475496139

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 225Xp0200X
Definition:
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu

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FAQs about Lena Carolyn Peterson

What is the unique identifier code issued to Lena Carolyn Peterson by the Centers for Medicare & Medicaid Services (CMS)?

The Lena Carolyn Peterson has been assigned the NPI (National Provider Identifier) 1710158563. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Lena Carolyn Peterson is physically located?

The Lena Carolyn Peterson is situated at the following address: 1860 W Winchester Rd, Libertyville, IL 600485351.

What is Lena Carolyn Peterson'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 Lena Carolyn Peterson is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 225Xp0200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710158563 to Lena Carolyn Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1710158563 to Lena Carolyn Peterson on 2008-03-20.

When was the Lena Carolyn Peterson's information last updated?

The Lena Carolyn Peterson's information was last updated on 2008-03-20.

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