Peterson, Lance Taylor
Peterson, Lance Taylor is an sole proprietor health care provider with primary practice located at 1551 Commodore Rd , Lyndhurst OH 44124-2825. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Peterson, Lance Taylor can be contacted via phone (216) 544-4407.Contact Information
Primary practice address
1551 Commodore Rd
Lyndhurst OH 44124-2825
Phone: (216) 544-4407
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I 0600042 |
Profile Details
| NPI number | 1205047057 |
|---|---|
| LBN Legal business name | Peterson, Lance Taylor |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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