Individual provider · Type 1 NPI

Lawrence Petracco, DC

Chiropractor · Jersey City, NJ

NPI number 1528090149 Active

Practice location

218 Newark Ave
Jersey City, NJ 07302-2736

Fax (201) 533-0066

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X38MC00495100 (NJ)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1528090149

Lawrence Petracco, DC's National Provider Identifier is 1528090149, issued on Jul 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jersey City, NJ. The record was last updated on Jul 8, 2007.