LAURIE LEE PETERSON


Address: 603 W Baseline Rd Ste 200, Mesa, AZ 85210-6047
Phone: 4804611088

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
3166 AZ Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

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

Other Providers LAURIE PETERSON

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

Office Location

Street Address 603 W BASELINE RD STE 200
City MESA
State AZ
Zip Code 85210-6047

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MESA
Zip Code 85210

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Dataset Information

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.

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