Peterson, Lars E

Peterson, Lars E is an individual health care provider with primary practice located at 255 N 30Th St , Laramie WY 82072-5140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Peterson, Lars E can be contacted via phone (307) 742-2141.

Contact Information

Primary practice address
255 N 30Th St Laramie WY 82072-5140
Phone: (307) 742-2141
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6962A Wyoming

Profile Details

NPI number 1023110640
LBN Legal business name Peterson, Lars E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2006
Last updated Oct 31st, 2012 - about 14 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 1023110640 NPPES
Wyoming MEDICAID 119117900

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