Lauris J. Petersen MD PC
Lauris J. Petersen MD PC is a Family Medicine Physician in Glenville, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15 Glenridge RdGlenville, NY 12302-4520
Phone: (518) 399-0909
Fax: (518) 399-2640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 213320 (NY) |
|---|
Record details
| NPI number | 1659563989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lauris Petersen — Ceo/President · (518) 399-0909 |
| Other names | Glenridge Family Medicine |
| NPI enumerated | August 10, 2007 |
| Last updated in NPPES | August 10, 2007 |
| Mailing address | 15 Glenridge Rd, Glenville, NY 12302-4520 |
Other providers in Glenville
-
Khyber Khan, MD
115 Saratoga Rd, Glenville, NY 12302-4211 · (518) 243-3360
-
Dr. Lauris J Petersen, MD
15 Glenridge Rd, Glenville, NY 12302-4520 · (518) 399-0909
-
Mrs. Jotie Shivrattan, NP
1092 Sacandaga Rd, Glenville, NY 12302-6058 · (518) 210-6015