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Lacie Petro, MD
Family Medicine Physician in Normal, Illinois
NPI 1619189859

Lacie Petro is a Family Medicine Physician based in Urbana, IL. Lacie Petro practices in Normal, IL and has the professional credentials of MD. The NPI Number for Lacie Petro is 1619189859 and holds a License No. 125-050112 (Illinois).

The current practice location address for Lacie Petro is 1302 Franklin Ave Ste 1100, Normal, IL and can be reached out via phone at 309-268-5620 and via fax at 309-661-6226.

Location: 1302 Franklin Ave Ste 1100, Normal, IL, 61801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619189859
Provider Name
Lacie Petro
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1302 Franklin Ave Ste 1100, Normal, IL, 61801
Phone Number
309-268-5620
Fax Number
309-661-6226
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
833120 01 IL MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
1302 Franklin Ave Ste 1100
City
Normal
State
Illinois
Zip
61761-0016
Phone Number
309-268-5620
Fax Number
309-661-6226
person
Provider Business Mailing Address Details
Address
1302 Franklin Ave Ste 1100
City
Normal
State
Illinois
Zip
61761-0016
Phone Number
309-268-5620
Fax Number
309-661-6226
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
125-050112 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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