Peterson, Laura Lynne
Peterson, Laura Lynne is an individual health care provider with primary practice located at 2014 Washington Street , Newton MA 02462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Peterson, Laura Lynne can be contacted via phone (617) 243-6040.Contact Information
Primary practice address
2014 Washington Street
Newton MA 02462
Phone: (617) 243-6040
Fax: (617) 243-6924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 73351 | Massachusetts |
Profile Details
| NPI number | 1922068576 |
|---|---|
| LBN Legal business name | Peterson, Laura Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922068576 | NPPES |
| Other | 073351 | TUFTS | |
| Other | 44563 | TUFTS | |
| Other | J10680 | TUFTS | |
| MEDICAID | 3073530 | TUFTS |
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