Lanie D Petersen
NPI #1174180707 in Junction City, Kansas
Provider Information
- NPI Number
- 1174180707
- Entity Type
- Individual
- Name
- Lanie D Petersen
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- May 20, 2019
- Last Updated
- Aug 12, 2020
Practice Location
- Address
- 924 W 6TH ST
- City
- Junction City
- State
- Kansas
- ZIP Code
- 66441-3229
- Phone
- (785) 256-9096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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