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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LEE M PETERSON MD
NPI 1316987613
Surgery in Provo, UT

Active since June 07, 2006
3550 N UNIVERSITY AVE, SUITE 250, PROVO, UT 84604(801) 374-9625(801) 374-9690 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lee M Peterson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE M PETERSON MD (NPI 1316987613) is an individual surgery provider in Provo, Utah, licensed in Utah (1766331205) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1316987613
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameLEE M PETERSONCredential: MD
Location Address3550 N UNIVERSITY AVE, SUITE 250Provo, UT 84604
Mailing Address3550 N University Ave, Suite 250Provo, UT 84604 · (801) 374-9625 · Fax (801) 374-9690
Phone(801) 374-9625
Fax(801) 374-9690
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
✔ NPI 1316987613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in UT · 1766331205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3550 N UNIVERSITY AVE, Provo, UT 84604
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Other Identifiers 1

Medicaid870516264009UT

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID WESLEY BROCK PA-C
Physician Assistant (Surgical)
3550 N UNIVERSITY AVE, SUITE 250
PROVO, UT 84604
Utah County (801) 374-9625
RACHEL OSWALD FREEMAN
Nurse Practitioner (Family)
3550 N UNIVERSITY AVE, #250
PROVO, UT 84604
Utah County (801) 374-9625
DAVID P. J. GARRY MD
Surgery
3550 N UNIVERSITY AVE, SUITE 250
PROVO, UT 84604
Utah County (801) 374-9625
BRUCE B HILL MD
Surgery
3550 N UNIVERSITY AVE, SUITE 250
PROVO, UT 84604
Utah County (801) 374-9625
DR. DAVID MICHAEL WATTS M.D.
Surgery
3550 N UNIVERSITY AVE, SUITE 250
PROVO, UT 84604
Utah County (801) 374-9625
CRAIG S COOK MD
Surgery
3550 N UNIVERSITY AVE, STE 250
PROVO, UT 84604
Utah County (801) 374-9625

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Peterson's NPI number?

The NPI number for Lee Peterson is 1316987613. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Lee Peterson located?

Lee Peterson practices at 3550 N University Ave Suite 250, Provo, UT 84604. The listed phone number is (801) 374-9625.

What is Lee Peterson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Lee Peterson was last updated on July 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.