Facility
CPO PSC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1720090525 · enumerated 2006-08-12 · record updated 2022-05-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: LAWRENCE PETERS MD, MD · (502) 366-0970
Addresses and phones
- Practice location 4402 CHURCHMAN AVE, SUITE 404, LOUISVILLE, KY, 40215-1190 (502) 363-4156 Google Maps Apple Maps OpenStreetMap
- Mailing address PO BOX 30563, BELFAST, ME, 04915-2057 (888) 488-8289 Fax (502) 919-9780 Google Maps Apple Maps OpenStreetMap
Specialties
- Durable Medical Equipment & Medical Supplies 332B00000X · License 31716 KY
- Nurse Practitioner, Family 363LF0000X · License 5222 KY
- 208VP0000X 208VP0000X · Primary · License 31716 KY
In this directory
Locations and evidence
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Practice location
LOUISVILLE, KY, 402151190
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.