Mrs Lisa Peterson, is a
Speech-language Pathologist based in Center, Missouri. Mrs Lisa Peterson is licensed to practice in Missouri (license number 0347894) and her current practice location is
407 N Foster St, Center, Missouri. She can be reached at her office (for appointments etc.) via phone at
(573) 267-3963.
NPI number for Mrs Lisa Peterson is 1497154033 and her current mailing address is 407 N Foster St, Po Box 117, Center, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497154033.
Healthcare Provider's Profile
| Full Name | Mrs Lisa Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 407 N Foster St, Center, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1497154033
- Provider Enumeration Date: 08/20/2014
- Last Update Date: 08/20/2014
Medical Identifiers
Medical identifiers for Mrs Lisa Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497154033 | NPI | - | NPPES |
| 0347894 | Other | MO | MISSOURI DEPARTMENT OF EDUCATION-TEACHING CERTIFICATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 0347894 (Missouri) | 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 Lisa 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 Address | Practice Location Address |
Mrs Lisa Peterson, 407 N Foster St, Po Box 117, Center, MO 63436-1026 Ph: (573) 267-3963 | Mrs Lisa Peterson, 407 N Foster St, Center, MO 63436-1026 Ph: (573) 267-3963 |
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