Peterson, Lana J.

Peterson, Lana J. is an individual health care provider with primary practice located at 1041 S Lebaron , Mesa AZ 85210-3630. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Peterson, Lana J. can be contacted via phone (480) 788-4628.

Contact Information

Primary practice address
1041 S Lebaron Mesa AZ 85210-3630
Phone: (480) 788-4628
Fax: (866) 812-0853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP1740 Arizona

Profile Details

NPI number 1972553360
LBN Legal business name Peterson, Lana J.
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Dec 8th, 2015 - about 9 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 1972553360 NPPES
Arizona MEDICAID 787757

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