MR. Lance Damon Peterson, PHYSICIAN ASSISSTANT

NPI #1659552610 in Stoughton, Massachusetts

Provider Information

NPI Number
1659552610
Entity Type
Individual
Name
MR. Lance Damon Peterson, PHYSICIAN ASSISSTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISSTANT
Enumeration Date
Nov 19, 2007
Last Updated
Mar 25, 2019

Practice Location

Address
150 YORK ST
ZIP Code
02072-1829
Phone
(339) 237-2629

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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