Individual
LILLIAN S. PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 25TH ST STE K, COLUMBUS, IN 47201-3203
(812) 376-5883
Mailing address
8760 W 550 S, COLUMBUS, IN 47201-8756
(812) 390-8452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004186A
IN
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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