Provider Demographics
NPI:1205644218
Name:VETTER, PEGGY (LM)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:VETTER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 BLUFF CT
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7060
Mailing Address - Country:US
Mailing Address - Phone:760-500-1316
Mailing Address - Fax:
Practice Address - Street 1:5938 PRIESTLY DR STE 103
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-8847
Practice Address - Country:US
Practice Address - Phone:760-500-1316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM750176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife