Petersen, Lori A

Petersen, Lori A is an individual health care provider with primary practice located at 8 Prospect St , Nashua NH 03060-3925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Petersen, Lori A can be contacted via phone (603) 577-2039.

Contact Information

Primary practice address
8 Prospect St Nashua NH 03060-3925
Phone: (603) 577-2039
Fax: (603) 882-5656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 214795 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 069512-23 New Hampshire

Profile Details

NPI number 1407906704
LBN Legal business name Petersen, Lori A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 16th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407906704 NPPES
Massachusetts MEDICAID 110019301A

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