LISA PETERSON, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1619156411

Practice Address

1500 14TH ST W STE 300
Williston, ND 58801

Phone: (701) 774-7500

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No PAC0377 (ND)
Physician Assistant - Surgical 363AS0400X Yes PAC0377 (ND)

Frequently Asked Questions

NPI 1619156411 is the National Provider Identifier for LISA PETERSON, PA-C, a Physician Assistant - Surgical provider located in Williston, ND. This NPI was enumerated on October 29, 2007.
LISA PETERSON, PA-C practices at 1500 14TH ST W STE 300, Williston, ND 58801.

Quick Facts

NPI
1619156411
Type
Individual
Enumerated
Oct 29, 2007
Last Updated
Jul 21, 2022

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