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

Mr. Lauren L Peterson Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1669490140

Mr. Lauren L Peterson Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Maumee, Ohio. Qualified in 1999, 27 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
27
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

7764 Forest Creek Ct
Maumee, OH 43537-9140
Phone: (419) 690-7652
Fax: (419) 697-7726
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN255183 (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence NA04744 (OH)

Record details

NPI number1669490140
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESNovember 3, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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