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

DR. EMILY LARA PETERSEN, MD

Active

Nephrology · COEUR D ALENE, ID

Registration Details

NPI Number
1750414447
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.174648267749 yrs)
Last Updated
Jul 22, 2025
Licenses
6027146-1205 (UT)
M-11299 (ID)

Practice Information

Address
700 W IRONWOOD DR STE 375
COEUR D ALENE, ID, 838144401
Browse ID providers · Browse ZIP 83814
Phone
2086256100
Primary Specialty
Nephrology
207RN0300X
Additional Specialty
Nephrology

Other Nephrology Providers in COEUR D ALENE, ID

Name Credential NPI
BRENDAN A MIELKE MD 1265425532
CASEY LEE COTANT M.D. 1427182781
DR. SCOTT DAVID BIEBER D.O. 1447452578
TIANA JESPERSEN NIZAMIC MD 1891182911
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.