Terrie L Peterson

NPI #1801071212 in Lenexa, Kansas

Provider Information

NPI Number
1801071212
Entity Type
Individual
Name
Terrie L Peterson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jan 3, 2008
Last Updated
Jan 9, 2008

Practice Location

Address
14631 W 79TH TER
City
Lenexa
State
Kansas
ZIP Code
66215-4201
Phone
(913) 492-5293

Specialties & Taxonomy Codes

Specialty
Specialist

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