LAURIE LEE PETERSON (NPI# 1205898715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205898715 |
Entity Type | Individual |
Full Name | LAURIE LEE PETERSON |
Credential | P.A. |
Practice Address |
603 W Baseline Rd Ste 200 Mesa AZ 85210-6047 |
Mailing Address |
3020 E Camelback Rd Ste 301 Phoenix AZ 85016-4418 |
Practice Telephone | 4804611088 |
Practice Fax Number | 4804611657 |
Mailing Telephone | 6022649100 |
Mailing Fax Number | 6022649101 |
Enumeration Date | 2006-04-03 |
Last Update Date | 2019-10-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3166 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
21321 E Ocotillo Rd Ste 114, Queen Creek, AZ 851425994 | 4804611088 | 4804611657 |
1520 S Dobson Rd, Ste 302, Mesa, AZ 852024725 | 4804611088 | 4804611657 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407227036 | Laurie Peterson | Social Worker | 4380 Coral Gables Dr, Parma, OH 44134-6316 | 2015-10-08 |
1811412810 | Laurie Peterson | Speech-Language Pathologist | 121b Lee St, Carrollton, GA 30117-3314 | 2017-08-10 |
1851401434 | Laurie Louise Peterson | Emergency Medicine | 2116 Craig Rd, Eau Claire, WI 54701-6149 | 2006-08-30 |
Street Address |
603 W BASELINE RD STE 200 |
City | MESA |
State | AZ |
Zip Code | 85210-6047 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790746717 | Philip Gregory Foutch | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-03-29 |
1174796999 | Nilay Hasmukh Kavathia | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2008-04-12 |
1669658969 | Rebecca L Mccollaum | Nurse Practitioner | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2008-01-16 |
1811939747 | Shiv Verma | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-06-12 |
1487616892 | Robert L Sawyer Jr. | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-04-03 |
1801858113 | Sumir M. Patel | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-04-03 |
1881655819 | Andrew J. Grade | Internal Medicine | 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497382501 | Mesa Center for Family Medicine | Internal Medicine | 2034 S Alma School Road, Suite #101, Mesa, AZ 85210 | 2020-03-26 |
1780177121 | Jessica Cannata | Speech-Language Pathologist | 2150 S Country Club Rd, Suite 20, Mesa, AZ 85210 | 2018-06-11 |
1831680305 | Alexandra Katherine Ebong | Nurse Practitioner | 1950 S. Country Club Drive, Ste 102, Mesa, AZ 85210 | 2018-05-21 |
1548762719 | Russell D. Meldrum, M.d. Pllc | Orthopaedic Surgery | 855 W. Southern Ave., #1114, Mesa, AZ 85210 | 2018-03-05 |
1023510435 | Denise M Bruno-krupp | Counselor | 1830 S. Alma School Rd. Suite 101, Mesa, AZ 85210 | 2018-03-01 |
1609374529 | Gene R Lullo | Social Worker | 1830 S Alma School Rd Suite 101, Mesa, AZ 85210 | 2018-01-25 |
1295264000 | Ashley P Smith | Naturopath | 601 S Alma School Rd, Apt 101, Mesa, AZ 85210 | 2017-06-06 |
1386184059 | Brittany Johnson | Counselor | 1745 S Alma School Rd Ste 230, Mesa, AZ 85210 | 2017-03-01 |
1487190880 | Mesa Valley Modern Dentistry, LLP | Dentist | 1712 S, Country Club Drive, Ste 104, Mesa, AZ 85210 | 2017-01-10 |
1821544529 | Sandra Coren | Licensed Practical Nurse | 32 S Mcdonald, Tlc, Mesa, AZ 85210 | 2016-09-01 |
Find all providers in zip 85210 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962986349 | Amber Lynn Maison | Physician Assistant | 4540 E Baseline Rd Ste 113, Mesa, AZ 85206-4617 | 2018-09-20 |
1821549619 | Briana Dawn Johnson | Physician Assistant | 455 N Mesa Dr Ste 16e, Mesa, AZ 85201-5995 | 2016-10-17 |
1659741031 | Jared Bevell | Physician Assistant | 844 E 7th Pl, Mesa, AZ 85203-6404 | 2015-09-29 |
1649507088 | Klint Layton Webb | Physician Assistant | 3130 E Baseline Rd Ste 103-104, Mesa, AZ 85204-7290 | 2009-11-05 |
1194961540 | Jeffrey R Smolin | Physician Assistant | 2034 S Alma School Rd Ste 2, Mesa, AZ 85210-4004 | 2009-01-06 |
1235389156 | Tessa M Tibben | Physician Assistant | 4855 E Brown Rd Ste 100, Mesa, AZ 85205-8007 | 2008-09-27 |
1639353808 | Brittany S Wheeler | Physician Assistant | 2310 E. Brown Rd, Mesa, AZ 85213 | 2007-12-24 |
1891995296 | Kellie M Earle P.a. | Physician Assistant | 4135 So. Power Rd, Suite 129, Mesa, AZ 85212 | 2007-07-23 |
1881778348 | Robert James Kalmbach | Physician Assistant | 4850 E Baseline #118, Mesa, AZ 85206 | 2006-10-24 |
1336255264 | Greenfield Family Medicine LLC | Physician Assistant | 1244 N. Greenfield Rd., Suite 104, Mesa, AZ 85205 | 2006-08-22 |
Find all providers in MESA |
Please comment or provide details below to improve the information on LAURIE LEE PETERSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.