Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Emily Lara Petersen, MD

Individual provider Internal Medicine Physician · NPI 1750414447

Dr. Emily Lara Petersen, MD is a Nephrology in Coeur D Alene, Idaho. Graduated from University of Utah School of Medicine in 2004, 22 years ago. Practices with Kootenai Health Inc, a 394-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Utah.

Years since qualifying
22
Trained at
University of Utah School of Medicine
Licensed in
ID, UT
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401
Phone: (208) 625-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence M-11299 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 6027146-1205 (UT)

Record details

NPI number1750414447
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Coeur D Alene