Lauris J. Petersen MD PC
NPI #1659563989 in Glenville, New York
Provider Information
- NPI Number
- 1659563989
- Entity Type
- Organization
- Organization Name
- Lauris J. Petersen MD PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 10, 2007
- Last Updated
- Aug 10, 2007
Practice Location
Authorized Official
- Name
- DR. LAURIS JON PETERSEN, MD
- Title
- CEO/PRESIDENT
- Phone
- (518) 399-0909
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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