Individual
LINSEY PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093-3643
(410) 296-1990
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R191455
MD
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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