MEDICARE: MRS. LORI LETITIA PETERSON R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WC0400X	Case Management Registered Nurse	120460	CO

General Provider Information

NPI Number	:	1073587259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI LETITIA PETERSON R.N.

Provider Business Mailing Address
First Line	:	571 TAMARRON DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80919-2023
Country	:	US
Telephone Number	:	719-524-4395
Fax Number	:	719-526-4747

Provider Business Practice Location Address
First Line	:	1853 OCONNELL BLVD
Second Line	:	BLDG. 1042
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4055
Country	:	US
Telephone Number	:	719-524-4395
Fax Number	:	719-526-4747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1578542981 — MS. MARY LYNN MARSH PA-C
Practice Location Address:

1853 OCONNELL BLVD
FORT CARSON, CO
80913-4055

Practice Phone: 719-524-5577
Practice Fax:

1346203940 — MS. KYRA LEE TURNER-SCHLIEMAN NP-C
Practice Location Address:

1853 OCONNELL BLVD
FT CARSON, CO
80913-4055

Practice Phone: 719-524-5577
Practice Fax:

1932139748 — DALTON MAPLES JR. PA-C
Practice Location Address:

1853 OCONNELL BLVD , BUILDING 1042
FORT CARSON, CO
80913-4055

Practice Phone: 719-526-9408
Practice Fax:

1659428209 — MISS ANNE ELIZABETH FULLER MPAS, PA-C
Practice Location Address:

7490 SUTHERLAND CIRCLE , BLDG. 7490
FORT CARSON, CO
80913-4055

Practice Phone: 719-524-2209
Practice Fax: 719-524-5405

1164575072 — MR. RICKY WILLIAM BRETTHAUER
Practice Location Address:

1853 OCONNELL BLVD , BLDG 1042
FT CARSON, CO
80913-4055

Practice Phone: 719-524-4670
Practice Fax:

1376714105 — MS. SUSAN J ROETH LCSW
Practice Location Address:

1853 OCONNELL BLVD , BLDG 1056, ROOM 9
FORT CARSON, CO
80913-4055

Practice Phone: 719-526-6823
Practice Fax:

Directions to “ MRS. LORI LETITIA PETERSON R.N.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.