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1023110640
LARS E PETERSON
LARAMIE, WY
NPI
1023110640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WY 6962A)
Enumeration Date
2006-09-03
Last Update Date
2012-10-31
Business Address
Mr. LARS E PETERSON MD
255 N 30TH ST
LARAMIE, WY 82072-5140
Phone number: 307-742-2141
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Mailing Address
Mr. LARS E PETERSON MD
320 S 7TH ST
LARAMIE, WY 82070-3822
Phone number: 307-399-2883
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