Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LILLIAN PETERSEN, CDL, LD
Active Sole ProprietorLILLIAN PETERSEN, CDL, LD is a 122400000X healthcare provider located in FLORENCE, Oregon. NPI 1699198663 is currently active in the NPPES registry. Verify at CMS.
122400000X · FLORENCE, OR
Registration Details
- NPI Number
- 1699198663
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2014 (12.521579134393 yrs)
- Last Updated
- Sep 23, 2014
- License
-
DT DO 706283 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 LAUREL STREETFLORENCE, OR, 974390004Browse OR providers · Browse ZIP 97439
- Phone
- 5419976054
- Fax
- 5419976054
- Primary Specialty
-
122400000X
122400000X
Other 122400000X Providers in FLORENCE, OR
| Name | Credential | NPI |
|---|---|---|
| MS. SHAWN M MURRAY | C.D.T., L.D. | 1437351285 |
| MR. WILLIAM A. FOSTER JR. | LICENSED DENTURIST | 1164611901 |
| MR. RYAN CHARLES KORANDO | L.D. | 1144589102 |
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.