Lido L Petrucci is a Chiropractor in Lagrange, Kentucky. Lido L Petrucci practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lido L Petrucci is 1336243971. The last update date is 2007-11-26.
Lido L Petrucci's current location address is 301 S 1st St, Lagrange, Kentucky. You can contact this provider via phone number 5022220000 and fax number 5022223488. The mailing address for Lido L Petrucci is 301 S 1st St, Lagrange, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lido L Petrucci |
|---|---|
| Address | 301 S 1st St, Lagrange, Kentucky |
| Phone Number | 5022220000 |
| Fax Number | 5022223488 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1336243971 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 301 S 1st St |
|---|---|
| City | Lagrange |
| State | Kentucky (KY) |
| Post Code | 400311240 |
| Phone Number | 5022220000 |
| Fax Number | 5022223488 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4315 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2438072000 | KY | PASSPORT ADVANTAGE | |
| 9943660003 | KY | CIGNA | |
| 974279 | KY | AETNA | |
| 51634 | KY | ANTHEM | |
| 350048657 | KY | RAILROAD MEDICARE | |
| 1140365 | KY | PASSPORT | |
| 85036697 | KY | -- |
Post Comment/ Review Below
What is the Lido L Petrucci's unique identification number?
The Lido L Petrucci has been assigned the NPI (National Provider Identifier) Number 1336243971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Lido L Petrucci?
The Lido L Petrucci is physically situated at 301 S 1St St, in the city of Lagrange, state of KY, with the postal code 400311240.
What is the Lido L Petrucci's specialty and taxonomy code?
The Lido L Petrucci's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Lido L Petrucci receive its 1336243971 assignment from the Centers for Medicare & Medicaid Services?
The Lido L Petrucci was assigned its 1336243971 by the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date was the information pertaining to Lido L Petrucci, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lido L Petrucci, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-26.