Individual provider · Type 1 NPI

Emily Lara Petersen, MD

Nephrology Physician · Coeur D Alene, ID

NPI number 1750414447 Active

Practice location

700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401

Call (208) 625-6100 Map

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	6027146-1205 (UT)
Nephrology Physician Primary	207RN0300X	M-11299 (ID)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

5 other providers at this address

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About NPI 1750414447

Emily Lara Petersen, MD's National Provider Identifier is 1750414447, issued on Mar 13, 2007. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 22, 2025.