Susan Peterlin PA-C - Medical Physician Assistant in Lincoln, Nebraska | ProviderWire

Full Name

Susan Peterlin PA-C

NPI Number

1336238104

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/12/2006

Specialties

(Taxonomies)

Name

Medical Physician Assistant

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Nebraska

License Number

753

Contact
Information

Purpose

Mailing

Location

Address

2940 JACKSON DR

600 S 70TH ST

City

Lincoln

Lincoln

State

NE

NE

Postal Code

68502-5036

68510-2451

Country

US

US

Telephone Number

(402) 420-7871

(402) 489-3802

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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