GARY LAVERN PETERSON

ERIE, PA
NPI1932364924
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS015170)
Enumeration Date2008-07-19
Last Update Date2023-05-31
Business Address
GARY LAVERN PETERSON DO
5637 PEACH ST
ERIE, PA 16509-2605
Phone number: 814-864-0690
Mailing Address
GARY LAVERN PETERSON DO
1 LECOM PL
ERIE, PA 16505-2571
Phone number: