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

Lillian Petersen, CDL, LD

Individual provider Denturist · NPI 1699198663

Lillian Petersen, CDL, LD is a Denturist in Florence, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2014
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

524 Laurel St
Florence, OR 97439-0004
Phone: (541) 997-6054
Fax: (541) 997-6054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DT DO 706283 (OR)

Record details

NPI number1699198663
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDL , LD
Sole proprietorYes
NPI enumeratedJanuary 28, 2014
Last updated in NPPESSeptember 23, 2014
Mailing addressPo Box 96, Florence, OR 97439-0004

Other providers in Florence