Lido Petrucci (NPI# 1336243971, PAC ID# 3375442064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1336243971 |
| PAC ID by PECOS | 3375442064 |
| Professional Enrollment ID | I20060111000982 |
| Full Name | Lido Petrucci |
| Address |
301 S 1st St Lagrange KY 40031-1240 |
| Gender | M |
| Credential | DC |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 S 1st St, Lagrange, KY 40031-1240 |
| Street Address |
301 S 1ST ST |
| City | LAGRANGE |
| State | KY |
| Zip | 40031-1240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalenna Jean Wilson | Chiropractic | 301 S 1st St, Houston, MO 65483-1621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lagenia K Wright | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Sandra L Savage | Emergency Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Troy W Kaiser | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Taylor Lee Snyders | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Dennis Mcgill | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mary L Barresi | Internal Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Robert Hehre | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mika L Bates | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Laurence Preble | Chiropractic | 102 W Madison St, La Grange, KY 40031-1428 | |
| Grace C Grogan | Physical Therapy | Pro Apex | 1407 E Crystal Dr, Suite E, Lagrange, KY 40031-1456 |
| Find all physicians in zip 40031 | |||
| City | LAGRANGE |
| Zip Code | 40031 |
| Specialty | CHIROPRACTIC |
| City + Specialty | LAGRANGE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Lido Petrucci.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.