Individual
MRS. LISA MARIE PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
Mailing address
37052 SHOREHAM DR, EASTLAKE, OH 44095-1173
(440) 376-0628
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.025350
OH
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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