Mrs Alyssa Marie Peterson, LAC - Acupuncturist in Roseville, MN

Mrs Alyssa Marie Peterson, LAC is a Acupuncturist based in Roseville, Minnesota. Mrs Alyssa Marie Peterson is licensed to practice in Minnesota (license number 1357) and her current practice location is 2151 Hamline Ave #108, Roseville, Minnesota. She can be reached at her office (for appointments etc.) via phone at (612) 242-9630.

NPI number for Mrs Alyssa Marie Peterson is 1962624239 and her current mailing address is 2151 Hamline Ave #108, Roseville, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962624239.

Contact Information

Mrs Alyssa Marie Peterson, LAC
2151 Hamline Ave #108,
Roseville, MN 55113-4236
(612) 242-9630
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Alyssa Marie Peterson
GenderFemale
SpecialityAcupuncturist
Location2151 Hamline Ave #108, Roseville, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962624239
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Alyssa Marie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962624239NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist 1357 (Minnesota)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. Mrs Alyssa Marie Peterson 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 AddressPractice Location Address
Mrs Alyssa Marie Peterson, LAC
2151 Hamline Ave #108,
Roseville, MN 55113-4236

Ph: (612) 242-9630
Mrs Alyssa Marie Peterson, LAC
2151 Hamline Ave #108,
Roseville, MN 55113-4236

Ph: (612) 242-9630

Reviews and Comments


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Phone: 612-242-9630    Fax: 651-636-6110
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