Lance Damon Peterson in Quincy - Physician Assistant
Lance Damon Peterson - NPI 1659552610
Lance Damon Peterson is a Physician Assistant in Quincy, Massachusetts. Lance Damon Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lance Damon Peterson is 1659552610. The last update date is 2019-03-25.
Lance Damon Peterson's current location address is 50 Victoria Rd, Quincy, Massachusetts. You can contact this provider via phone number 6173288999. The mailing address for Lance Damon Peterson is 50 Victoria Rd, Quincy, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lance Damon Peterson |
|---|---|
| Address | 50 Victoria Rd, Quincy, Massachusetts |
| Phone Number | 6173288999 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHYSICIAN |
NPI Number Detail
| NPI Number | 1659552610 |
|---|---|
| Provider Enumeration Date | 2007-11-19 |
| Last Updated Date | 2019-03-25 |
Provider Mailing Address Detail
| Address | 50 Victoria Rd |
|---|---|
| City | Quincy |
| State | Massachusetts (MA) |
| Post Code | 21692433 |
| Phone Number | 6173288999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA291 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identifier code issued to Lance Damon Peterson by the Centers for Medicare & Medicaid Services (CMS)?
The Lance Damon Peterson has been assigned the NPI (National Provider Identifier) 1659552610. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Lance Damon Peterson?
The Lance Damon Peterson is situated at 50 Victoria Rd, in the city of Quincy, state of MA, with the zip code 21692433.
What is Lance Damon Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lance Damon Peterson's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Lance Damon Peterson receive its 1659552610 assignment from the Centers for Medicare & Medicaid Services?
The Lance Damon Peterson was assigned its 1659552610 by the Centers for Medicare & Medicaid Services on 2007-11-19.
As of what date was the information regarding Lance Damon Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lance Damon Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-25.
NPI Number: 1982607495
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