LILLIAN PETERSEN, CDL, LD

Denturist

Active Individual
NPI: 1699198663

Practice Address

524 LAUREL STREET
Florence, OR 97439

Phone: (541) 997-6054

Specialties

Specialty Code Primary License
Denturist 122400000X Yes DT DO 706283 (OR)

Frequently Asked Questions

NPI 1699198663 is the National Provider Identifier for LILLIAN PETERSEN, CDL, LD, a Denturist provider located in Florence, OR. This NPI was enumerated on January 28, 2014.
LILLIAN PETERSEN, CDL, LD practices at 524 LAUREL STREET, Florence, OR 97439.

Quick Facts

NPI
1699198663
Type
Individual
Enumerated
Jan 28, 2014
Last Updated
Sep 23, 2014

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