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Individual

LORI S PETRUCCIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
6336 AVALON LANE EAST DR, INDIANAPOLIS, IN 46220-5080
(317) 915-1525
Mailing address
6336 AVALON LANE EAST DR, INDIANAPOLIS, IN 46220-5080
(317) 915-1525

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
175F00000X
Naturopath
Primary

Other

Enumeration date
03/08/2012
Last updated
03/08/2012
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