Dr. Lawrence Petracco, D.C.
Chiropractor in Jersey City, NJ. Individual provider (NPI-1).
NPI number1528090149
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1528090149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence Petracco
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38mc00495100 | NJ | Yes |
Practice location
218 Newark AveJersey City, NJ 07302-2736
Phone 201-533-0055 · Fax 201-533-0066
Mailing address
218 Newark AveJersey City, NJ 07302-2736
Phone 201-533-0055 · Fax 201-533-0066
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