Lori Annelle Petersen, REGISTERED NURSE is a
Registered Nurse based in Riceboro, Georgia. Lori Annelle Petersen is licensed to practice in Georgia (license number RN168089) and her current practice location is
104 Angie St, Riceboro, Georgia. She can be reached at her office (for appointments etc.) via phone at
(904) 251-5008.
NPI number for Lori Annelle Petersen is 1023376308 and her current mailing address is 104 Angie St, Riceboro, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023376308.
Provider's Profile
Full Name | Lori Annelle Petersen |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 104 Angie St, Riceboro, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023376308
- Provider Enumeration Date: 04/24/2012
- Last Update Date: 04/24/2012
Medical Identifiers
Medical identifiers for Lori Annelle Petersen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023376308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN9213978 (Florida) | Secondary |
163W00000X | Registered Nurse | RN168089 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lori Annelle Petersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lori Annelle Petersen, REGISTERED NURSE 104 Angie St, Riceboro, GA 31323-3016 Ph: (904) 251-5008 | Lori Annelle Petersen, REGISTERED NURSE 104 Angie St, Riceboro, GA 31323-3016 Ph: (904) 251-5008 |
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