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NPI Code Detail

MEDICARE: DR. LIDIA ELISABETA PETERS MD

MEDICARE:  DR. LIDIA ELISABETA PETERS  MD
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
1207Q00000XFamily Medicine PhysicianMD 060446PA

General Provider Information

NPI Number : 1508970757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LIDIA ELISABETA PETERS MD
Provider Business Mailing Address
First Line : 2 FAIRVIEW DR
Second Line :
City : DANVILLE
State : PA
Zip : 17821-8464
Country : US
Telephone Number : 570-372-5837
Fax Number :
Provider Business Practice Location Address
First Line : 1000 ROUTE 522
Second Line : SELINSGROVE CENTER
City : SELINGSGROVE
State : PA
Zip : 17870-8707
Country : US
Telephone Number : 570-372-5837
Fax Number : 570-372-5855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 06/05/2008

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Directions to “ DR. LIDIA ELISABETA PETERS MD” Practice Location

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