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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LORI ANNELLE PETERSEN, REGISTERED NURSE

Active Sole Proprietor

LORI ANNELLE PETERSEN, REGISTERED NURSE is a Registered Nurse healthcare provider located in RICEBORO, Georgia. NPI 1023376308 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · RICEBORO, GA

Registration Details

NPI Number
1023376308
Provider Type
Individual
Gender
Female
NPI Issued
Apr 24, 2012 (14.320518455906 yrs)
Last Updated
Apr 24, 2012
Licenses
RN9213978 (FL)
RN168089 (GA)
Sole Proprietor
Yes

Practice Information

Address
104 ANGIE ST
RICEBORO, GA, 313233016
Browse GA providers · Browse ZIP 31323
Phone
9042515008
Primary Specialty
Registered Nurse
163W00000X
Additional Specialty
Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.