Laura Mae Petersen, LPN
Licensed Practical Nurse in Eugene, OR. Individual provider (NPI-1).
NPI number1336788264
StatusActive
Last updated in NPPESDec 23, 2019
Details
- NPI
- 1336788264
- Entity type
- Individual (NPI-1)
- Name
- Laura Mae Petersen
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 23, 2019
- Certification date
- Dec 23, 2019
- Last updated
- Dec 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201910614LPN | OR | Yes |
Practice location
151 W 7th Ave Ste 100Eugene, OR 97401-2676
Phone 541-682-2676 · Fax 541-682-6703
Mailing address
2073 Olympic StSpringfield, OR 97477-3413
Phone 541-682-3550 · Fax 541-682-3551
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All 100 Licensed Practical Nurse providers in Eugene · All 9,751 providers in Eugene
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