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Individual
MR. LEE PETRARCA
Active
Individual
MR. LEE PETRARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, MSN, CEN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN 508036
CA
363LF0000X
Family Nurse Practitioner
Primary
NP 14943
CA
Other
Enumeration date
11/15/2005
Last updated
02/27/2009
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