Peterson, Lucy Elizabeth

Peterson, Lucy Elizabeth is an individual health care provider with primary practice located at 907 S Perry St , Spokane WA 99202-3462. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Peterson, Lucy Elizabeth can be contacted via phone (509) 838-3937.

Contact Information

Primary practice address
907 S Perry St Spokane WA 99202-3462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01082989A Indiana
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD00031440 Washington

Profile Details

NPI number 1790776425
LBN Legal business name Peterson, Lucy Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 3rd, 2024 - about 5 months 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 1790776425 NPPES
Washington MEDICAID 1086222

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