Lori S Petrucciani, N.D.
Individual provider Active NPI Naturopath · Indianapolis, IN
NPI 1285908293 · NPPES record last updated Mar 8, 2012
Key facts
- NPI
- 1285908293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Naturopath 175F00000X
- Practice address
- 6336 Avalon Lane East Dr
Indianapolis, IN 46220-5080 - Phone
- (317) 915-1525
- NPI assigned
- Mar 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Naturopath | 175F00000X | Yes |
Addresses
Primary practice location
6336 Avalon Lane East Dr
Indianapolis, IN 46220-5080
Mailing address
6336 Avalon Lane East Dr
Indianapolis, IN 46220-5080
Phone (317) 915-1525
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.