Miss Lora J. Peterson PA-C
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Miss Lora Jean Peterson PA-C
NPI Number
1487333548
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/17/2023
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9114289
Contact
Information
Purpose
Mailing
Location
Address
15555 SPOTTED SADDLE CIR
1697 KINGS RD
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32218-7984
32209-6169
Country
US
US
Telephone Number
(510) 875-9909
(904) 478-5483
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/17/2023