Organization
OLDHAM COUNTY SPINE & REHAB CENTER PSC
Active
Other names
LaGrange Chiropractic & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
LIDO LEE PETRUCCI DC (OWNER)
(502) 222-0000
Entity
Organization
Contact information
Practice address
301 S 1ST ST, LAGRANGE, KY 40031-1240
(502) 222-0000
(502) 222-3488
Mailing address
301 S 1ST ST, LAGRANGE, KY 40031-1240
(502) 222-0000
(502) 222-3488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
07/03/2008
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