Lacie Peterson, is a
Speech-language Pathologist based in Dayton, Minnesota. Lacie Peterson is licensed to practice in Minnesota (license number ) and her current practice location is
12700 Oakhill Trl, Dayton, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 380-0473.
NPI number for Lacie Peterson is 1639854219 and her current mailing address is 12700 Oakhill Trl, Dayton, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639854219.
Healthcare Provider's Profile
| Full Name | Lacie Peterson |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 12700 Oakhill Trl, Dayton, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639854219
- Provider Enumeration Date: 06/20/2023
- Last Update Date: 06/20/2023
Medical Identifiers
Medical identifiers for Lacie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639854219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacie Peterson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lacie Peterson,
12700 Oakhill Trl,
Dayton, MN 55327-9719
Ph: (651) 380-0473 | Lacie Peterson,
12700 Oakhill Trl,
Dayton, MN 55327-9719
Ph: (651) 380-0473 |
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