LAURIE LEE PETERSON P.A. NPI 1205898715

NPI Information

NPI: 1205898715
Provider Name: LAURIE LEE PETERSON, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
603 W BASELINE RD STE 200
MESA, AZ
ZIP 85210
Phone: (480) 461-1088
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Laurie Lee Peterson, P.A. is a medical physician assistant in Mesa, AZ with 24 years of experience. Laurie Lee Peterson, P.A. NPI is 1205898715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

603 W BASELINE RD STE 200
MESA, AZ
ZIP 85210-047
Phone: (480) 461-1088
Fax: (480) 461-1657

The NPI 1205898715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 11/27/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	3166	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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