Lagrange Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4315 Issued in KY

Legal business name

LAGRANGE CHIROPRACTIC PSC

Doing business as

LaGrange Chiropractic

Practice address

301 S 1St St
Lagrange, KY 40031

Phone

(502) 222-0000

Fax

(502) 222-3488

NPI assigned

Mar 21, 2007

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lido Lee Petrucci, DCNPI 1336243971

Title

Doctor

Phone

(502) 222-0000

Specialties & licenses 1

Addresses

Other names 1

• LaGrange Chiropractic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lido L Petrucci, DC

  • Chiropractor
  • La Grange, KY
  • NPI 1336243971
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1477679587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 1ST ST",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "40031",
            "telephone_number": "502-222-0000",
            "fax_number": "502-222-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 1ST ST",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "40031",
            "telephone_number": "502-222-0000",
            "fax_number": "502-222-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "PETRUCCI",
        "authorized_official_first_name": "LIDO",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "502-222-0000",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Alyse Korte
• Kroger Limited Partnership I (Kroger Pharmacy L-794)
• Kroger Limited Partnership I (Kroger Pharmacy)
• Anthony Kurland, DPT
• La Grange Dialysis LLC (LaGrange Dialysis)
• Lagrange Family Care Doctors P.S.C.
• Lagrange Wellness Chiropractoc
• Christin Landrum, PT, DPT
• Monica Arroyo Lange, DNP, AGACNP-BC
• Bryanna Keagan Lanham, M.S., CCC-SLP

• Chiropractor in La Grange, KY
• Providers in La Grange, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.