Larrice Shaunta Peterson

NPI #1518685197 in Lima, Ohio

Provider Information

NPI Number: 1518685197
Entity Type: Individual
Name: Larrice Shaunta Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Aug 18, 2022
Last Updated: Aug 18, 2022

Practice Location

Address: 530 S MAIN ST
City: Lima
State: Ohio
ZIP Code: 45804-1240
Phone: (419) 222-1168

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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