Lacie Petro M.D.

  • NPI 1619189859
According to our database, the NPI number for Lacie Petro M.D. is 1619189859 and activated since 17 years ago. Lacie Petro M.D. is an individual provider who specializes in Family Medicine, and the primary practice location is 1302 Franklin Ave Ste 1100, Normal, IL 61761. You can also contact Lacie Petro M.D. via telephone number is (309) 268-5620. Provider NPI information was last updated on 02/12/2021.

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Overview of Lacie Petro M.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/03/2007
  • Last updated: 02/12/2021

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 036119502
  • License State: IL

Provider Mailing Address

  • Address: 611 W. Park St.
    Fapc
    Urbana, IL 61801
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 1302 Franklin Ave Ste 1100
    Normal, IL 61761
  • Phone: 309-268-5620
  • Fax: 309-661-6226

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: 125-050112
  • License State: IL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 833120
  • Identifier Type: Other
  • Identifier State: IL
  • Issuer: MEDICARE GROUP PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Lacie Petro M.D.?
  • A: The npi number for Lacie Petro M.D. is 1619189859.
  • Q: What are Lacie Petro M.D.'s specialties?
  • A: Lacie Petro M.D.'s specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Lacie Petro M.D.?
  • A: The medical license number for Lacie Petro M.D. is 036119502 and issued in IL in USA.
  • Q: Where is Lacie Petro M.D. practice location?
  • A: Lacie Petro M.D. is practicing at 1302 Franklin Ave Ste 1100, Normal, IL 61761.
  • Q: How to contact Lacie Petro M.D.?
  • A: You can contact Lacie Petro M.D. via 309-268-5620.