location
search-icon
person
Dr. Lauris J Petersen, MD
Family Medicine Physician in Glenville, New York
NPI 1629152301

Lauris J Petersen is a Family Medicine Physician based in Scotia, NY. Lauris J Petersen practices in Glenville, NY and has the professional credentials of MD. The NPI Number for Lauris J Petersen is 1629152301 and holds a License No. 213320 (New York).

The current practice location address for Lauris J Petersen is 15 Glenridge Rd, Glenville, NY and can be reached out via phone at 518-399-0909 and via fax at 518-399-2640.

Location: 15 Glenridge Rd, Glenville, NY, 12302-4202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629152301
Provider Name
Lauris J Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Glenridge Rd, Glenville, NY, 12302-4202
Phone Number
518-399-0909
Fax Number
518-399-2640
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000491234003 01 NY BLUE SHIELD OF NENY
76V271 01 NY EMPIRE BLUE
10031080 01 NY CDPHP
714547 01 NY MVP
P00315575 01 NY RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
15 Glenridge Rd
City
Glenville
State
New York
Zip
12302-4520
Phone Number
518-399-0909
Fax Number
518-399-2640
person
Provider Business Mailing Address Details
Address
15 Glenridge Rd
City
Glenville
State
New York
Zip
12302-4520
Phone Number
518-399-0909
Fax Number
518-399-2640
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
213320 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.