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1295776359
LANCE R PETERSON
EVANSTON, IL
NPI
1295776359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
(Licence: IL 036083787)
Enumeration Date
2006-06-09
Last Update Date
2007-07-08
Business Address
-- LANCE R PETERSON M.D.
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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Mailing Address
-- LANCE R PETERSON M.D.
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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