Individual provider · Type 1 NPI

Leah Peterson

Critical Care Medicine Registered Nurse · Lakeland, FL

NPI number 1073483590 Active

Practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

1063 Sugartree Dr S
Lakeland, FL 33813-1867

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X9536577 (FL)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1073483590

Leah Peterson's National Provider Identifier is 1073483590, issued on Nov 10, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Lakeland, FL. The record was last updated on Nov 10, 2025.