Lance Petersen, MD
Emergency Medicine in Powell, WY. Individual provider (NPI-1).
NPI number1245303429
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1245303429
- Entity type
- Individual (NPI-1)
- Name
- Lance Petersen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD00035749 | WA | Yes |
| 207P00000X | Emergency Medicine | 8006A | WY | |
| 207Q00000X | Family Medicine | MD00035749 | WA |
Practice location
777 Avenue HPowell, WY 82435-2260
Phone 307-754-2267 · Fax 307-754-7747
Mailing address
777 Avenue HPowell, WY 82435-2260
Phone 307-754-2267 · Fax 307-754-7747
Other practice locations
110 Hospital Lane
Afton, WY 83110-0579
Afton, WY 83110-0579
Phone 307-885-5800 · Fax 307-885-5865
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Other Emergency Medicine Physician providers in Powell, WY
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- Bradley J North, DONPI 1023057874
- Tomasz OlejnikNPI 1780180695
All 7 Emergency Medicine Physician providers in Powell · All 357 providers in Powell
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