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Dr. Lyudmila Ivanovna Petruk, MD
Neurology Physician in Tacoma, Washington
NPI 1528154770

Lyudmila Ivanovna Petruk is a Neurology Physician based in Tacoma, WA and is specialized in Neurology. Lyudmila Ivanovna Petruk practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Lyudmila Ivanovna Petruk is 1528154770 and holds a License No. MD00046499 (Washington).

The current practice location address for Lyudmila Ivanovna Petruk is 209 Martin Luther King Jr Way, Tacoma, WA and can be reached out via phone at 253-596-3410.

Location: 209 Martin Luther King Jr Way, Tacoma, WA, 98405-4265
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Provider Profile Details
NPI Number
1528154770
Provider Name
Lyudmila Ivanovna Petruk
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
209 Martin Luther King Jr Way, Tacoma, WA, 98405-4265
Phone Number
253-596-3410
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD27033 01 OR MEDICAL LICENSE
8543415 05 WA
institution
Provider Business Practice Location Address Details
Address
209 Martin Luther King Jr Way
City
State
Zip
98405-4265
Phone Number
253-596-3410
Fax Number
person
Provider Business Mailing Address Details
Address
209 Martin Luther King Jr Way
City
State
Zip
98405-4265
Phone Number
253-596-3410
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
4215 (Wisconsin)
Definition
Definition to come.
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Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
MD00046499 (Washington)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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