Individual provider · Type 1 NPI

Samantha Diane Peterson, PA-C

Physician Assistant · East Lansing, MI

NPI number 1760387336 Active

Practice location

221 W Lake Lansing Rd Ste 200
East Lansing, MI 48823-8661

Call (248) 880-5025 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601014324 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1760387336

Samantha Diane Peterson, PA-C's National Provider Identifier is 1760387336, issued on Oct 13, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in East Lansing, MI. The record was last updated on Oct 13, 2026.