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NPI Code Detail

MEDICARE: LENIN J PETERS M.D.

MEDICARE: LENIN J PETERS M.D.
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
1207RG0100XGastroenterology Physician29370NC

General Provider Information

NPI Number : 1083638860
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENIN J PETERS M.D.
Provider Business Mailing Address
First Line : 507 N LINDSAY ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-4303
Country : US
Telephone Number : 336-883-0029
Fax Number : 336-899-2188
Provider Business Practice Location Address
First Line : 507 N LINDSAY ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27262-4303
Country : US
Telephone Number : 336-883-0029
Fax Number : 336-883-0867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/29/2015

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