Emily Jean Peterson (NPI# 1023594215, PAC ID# 2961750237) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1023594215 |
| PAC ID by PECOS | 2961750237 |
| Professional Enrollment ID | I20180802000758 |
| Full Name | Emily Jean Peterson |
| Organization Legal Name | LAKES AREA HEALTH CENTER PLLC |
| Address |
967 Lake St S Forest Lake MN 55025-2616 |
| Phone Number | 6514641113 |
| Gender | F |
| Medical School | NORTHWESTERN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2017 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 9234179664 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 967 Lake St S, Forest Lake, MN 55025-2616 | 6514641113 | LAKES AREA HEALTH CENTER PLLC |
| 360 Sherman St, Suite 400, Saint Paul, MN 55102-2425 | 6512251102 | LAKES AREA HEALTH CENTER PLLC |
| Organization Legal Name | LAKES AREA HEALTH CENTER PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Finley | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Steven G Santino | Physical Medicine and Rehabilitation | Lakes Area Health Center Pllc | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2425 |
| Donald W Kjome | Family Medicine | Lakes Area Health Center Pllc | 360 Sherman St, Suite 400, Saint Paul, MN 55102-2425 |
| Richard Ottomeyer | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Mark J Stock | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Street Address |
967 LAKE ST S |
| City | FOREST LAKE |
| State | MN |
| Zip | 55025-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Finley | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Richard Ottomeyer | Chiropractic | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Mark J Stock | Nurse Practitioner | Lakes Area Health Center Pllc | 967 Lake St S, Forest Lake, MN 55025-2616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Z Johnson | Chiropractic | 31 7th Sw Ave, Forest Lake, MN 55025 | |
| Beth R Reitzel | Clinical Social Worker | Canvas Health Inc | 555 W Broadway Ave 2 And, Suite 3, Forest Lake, MN 55025-1066 |
| Barry J Larson | Geriatric Medicine | Geriatric Services of Minnesota LLC | 604 1st Nest, Forest Lake, MN 55025-1207 |
| Kyle Lewis | Chiropractic | Forest Lake Chiropractic Clinic, P.a. | 591 N Shore Dr, Forest Lake, MN 55025-1217 |
| David J Lewis | Chiropractic | Forest Lake Chiropractic Clinic, P.a. | 591 N Shore Dr, Forest Lake, MN 55025-1217 |
| Richard D Bruesch | Optometry | 200 12th St Sw, Wal Mart Vision Center, Forest Lake, MN 55025-1482 | |
| Scott Richard Telander | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Kevin L Bahr | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Daniel William Solbrack | Optometry | Forest Lake Optometric Center | 20 Lake St N, Suite 101, Forest Lake, MN 55025-2510 |
| Derek J Scheevel | Physical Therapy | Therapy Partners Inc | 146 Lake St N, Forest Lake, MN 55025-2518 |
| Find all physicians in zip 55025 | |||
| City | FOREST LAKE |
| Zip Code | 55025 |
| Specialty | CHIROPRACTIC |
| City + Specialty | FOREST LAKE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.