| Oldham County Spine & Rehab Center Psc | |
|
301 S 1st St, Lagrange, KY 40031-1240 | |
| (502) 222-0000 | |
| (502) 222-3488 |
| Full Name | Oldham County Spine & Rehab Center Psc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 301 S 1st St, Lagrange, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689851602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Lido Petrucci |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336243971 PECOS PAC ID: 3375442064 Enrollment ID: I20060111000982 |
| Mailing Address | Practice Location Address |
|---|---|
| Oldham County Spine & Rehab Center Psc 301 S 1st St, Lagrange, KY 40031-1240 Ph: (502) 222-0000 | Oldham County Spine & Rehab Center Psc 301 S 1st St, Lagrange, KY 40031-1240 Ph: (502) 222-0000 |
Dr. Laurence Daniel Preble, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 102 W Madison St, Lagrange, KY 40031 Phone: 502-222-7611 | |
Dr. Lido L Petrucci, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 301 S 1st St, Lagrange, KY 40031 Phone: 502-222-0000 Fax: 502-222-3488 | |
Lagrange Chiropractic Psc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 301 S 1st St, Lagrange, KY 40031 Phone: 502-222-0000 Fax: 502-222-3488 |