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

Jesse Peterson, LAC

Individual provider Acupuncturist · NPI 1235259946

Jesse Peterson, LAC is an Acupuncturist in Roseville, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

2151 Hamline Ave N Ste 108
Roseville, MN 55113-4226
Phone: (612) 242-9630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 1333 (MN)

Record details

NPI number1235259946
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESMarch 31, 2011
Mailing address2151 Hamline Ave N, Suite 108, Roseville, MN 55113-4236

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