DR. Lauris J Petersen, MD

NPI #1629152301 in Glenville, New York

Provider Information

NPI Number: 1629152301
Entity Type: Individual
Name: DR. Lauris J Petersen, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Oct 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15 GLENRIDGE RD
City: Glenville
State: New York
ZIP Code: 12302-4520
Phone: (518) 399-0909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Lauris J. Petersen MD PC	Family Medicine	Glenville	AI Deep Dive

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