Individual provider · Type 1 NPI

Lauris J. Petersen, MD

Family Medicine Physician · Glenville, NY

NPI number 1629152301 Active

Practice location

15 Glenridge Rd
Glenville, NY 12302-4520

Fax (518) 399-2640

Mailing address

5 Monarda Dr
Scotia, NY 12302-4202

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X213320 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1629152301

Lauris J. Petersen, MD's National Provider Identifier is 1629152301, issued on Oct 25, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Glenville, NY. The record was last updated on Jul 8, 2007.