Peterson, Lisa M

Peterson, Lisa M is an individual health care provider with primary practice located at 1500 14Th St W Ste 300 , Williston ND 58801-4079. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Peterson, Lisa M can be contacted via phone (701) 774-7500.

Contact Information

Primary practice address
1500 14Th St W Ste 300 Williston ND 58801-4079
Phone: (701) 774-7500
Fax: (701) 774-3918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PAC0377 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PAC0377 North Dakota

Profile Details

NPI number 1619156411
LBN Legal business name Peterson, Lisa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2007
Last updated Jul 21st, 2022 - about 3 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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