Lisa M Peterson in Williston - Physician Assistant
Lisa M Peterson - NPI 1619156411
Lisa M Peterson is a Physician Assistant in Williston, North Dakota. Lisa M Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lisa M Peterson is 1619156411. The last update date is 2022-07-21.
Lisa M Peterson's current location address is 1500 14th St W Ste 300, Williston, North Dakota. You can contact this provider via phone number 7017747500 and fax number 7017743918. The mailing address for Lisa M Peterson is 1500 14th St W Ste 300, Williston, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Peterson |
|---|---|
| Address | 1500 14th St W Ste 300, Williston, North Dakota |
| Phone Number | 7017747500 |
| Fax Number | 7017743918 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619156411 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1500 14th St W Ste 300 |
|---|---|
| City | Williston |
| State | North Dakota (ND) |
| Post Code | 588014079 |
| Phone Number | 7017747500 |
| Fax Number | 7017743918 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PAC0377 |
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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 provider identifier assigned to Lisa M Peterson?
The Lisa M Peterson has been issued the NPI (National Provider Identifier) 1619156411 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 physical address where Lisa M Peterson is located?
The Lisa M Peterson is situated at the following address: 1500 14Th St W Ste 300, Williston, ND, 588014079.
What is Lisa M Peterson's area of expertise and its corresponding taxonomy classification?
The Lisa M Peterson's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lisa M Peterson receive its 1619156411 assignment from the Centers for Medicare & Medicaid Services?
The Lisa M Peterson was assigned its 1619156411 by the Centers for Medicare & Medicaid Services on 2007-10-29.
As of what date was the information regarding Lisa M Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa M Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-07-21.