DR. Lisa Jo Petersen, M.D.

NPI #1184620957 in Wenatchee, Washington

Provider Information

NPI Number: 1184620957
Entity Type: Individual
Name: DR. Lisa Jo Petersen, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jun 24, 2005
Last Updated: Jun 25, 2010

Practice Location

Address: 933 RED APPLE RD STE D
Address 2: CENTRAL WASHINGTON HOSPITAL WOMEN'S HEALTHCARE CENTER
City: Wenatchee
State: Washington
ZIP Code: 98801-3370
Phone: (509) 665-6125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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