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

Dr. Lance William Peterson, MD

Individual provider Pediatrics Physician · NPI 1528552510

Dr. Lance William Peterson, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
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

1 Childrens Pl Div Ped Rheumatology
Saint Louis, MO 63110-1002
Phone: (314) 454-6124
Fax: (844) 616-1418
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Specialties & licences

Pediatric Rheumatology Physician (primary) Taxonomy 2080P0216X · Licence 2019042209 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2019042209 (MO)

Record details

NPI number1528552510
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2018
Last updated in NPPESApril 17, 2025
Certification dateJune 26, 2020

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