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

Lee M Peterson, MD

Individual provider Surgery Physician · NPI 1316987613

Lee M Peterson, MD is a Surgery Physician in Provo, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
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

3550 N University Ave Ste 250
Provo, UT 84604
Phone: (801) 374-9625
Fax: (801) 374-9690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 1766331205 (UT)

Record details

NPI number1316987613
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address3550 N University Ave, Suite 250, Provo, UT 84604

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