Lido L Petrucci, DC Valid NPI
Individual provider · Chiropractor · Lagrange, KY
- NPI
- 1336243971
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 4315 (KY)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-09-12
- Last updated
- 2007-11-26
Practice location
301 S 1st St
Lagrange, KY 40031-1240
(502) 222-0000