Petersen, Lori

Petersen, Lori is an sole proprietor health care provider with primary practice located at 518 S 13Th St , Coeur D Alene ID 83814-3919. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Petersen, Lori can be contacted via phone (509) 953-1000.

Contact Information

Primary practice address
518 S 13Th St Coeur D Alene ID 83814-3919
Phone: (509) 953-1000
Fax: (509) 458-6087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1225433956
LBN Legal business name Petersen, Lori
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2014
Last updated Oct 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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