Peterson, Laura Alice

Peterson, Laura Alice is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601-5429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Peterson, Laura Alice can be contacted via phone (608) 782-7300.

Contact Information

Primary practice address
1836 South Ave La Crosse WI 54601-5429
Phone: (608) 782-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.096139 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35-096139 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 73795 Wisconsin

Profile Details

NPI number 1881853307
LBN Legal business name Peterson, Laura Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2008
Last updated Sep 9th, 2021 - about 5 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 1881853307 NPPES
Ohio MEDICAID 0159725

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