IndividualActive
Lana Peters, RDMS
NPI 1215767314 · Diagnostic Ultrasound Physician · Broken Arrow, OK
Provider details
- NPI number
- 1215767314
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Credential
- RDMS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 140023 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1409 E Kenosha St
Broken Arrow, OK 74012-2012
Phone: (918) 510-5115
Approximate (ZIP-level) locationGet directions
Mailing address
102 E Fargo Pl
Broken Arrow, OK 74012-8895
Registry dates
- Enumerated
- 2024-08-05
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.