Dr. Lyudmila Ivanovna Petruk
Neurologist Sports Medicine Doctor
209 Martin Luther King Jr Way
Tacoma
, Washington 98405-4265
Dr. Lyudmila Ivanovna Petruk
Neurologist Sports Medicine Doctor
209 Martin Luther King Jr Way
Tacoma
, Washington 98405-4265
(253) 596-3300
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About
Features
Specialties
- Sports Medicine Doctor
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Lyudmila Ivanovna Petruk
- 209 Martin Luther King Jr Way
- Tacoma, WA
- Zip : 98405-4265
- Phone : (253) 596-3300
Second Address
- Dr. Lyudmila Ivanovna Petruk
- 209 Martin Luther King Jr Way
- Tacoma, WA
- Zip : 98405-4265
- Phone : (253) 596-3410
Reviews
FAQs
Where did Dr. Lyudmila Ivanovna Petruk attend graduate school?
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Where did Dr. Lyudmila Ivanovna Petruk do her fellowship?
Is Dr. Lyudmila Ivanovna Petruk board certified?
What type of doctor is Dr. Lyudmila Ivanovna Petruk
In what state does Dr. Lyudmila Ivanovna Petruk practice in?
Where is Dr. Lyudmila Ivanovna Petruk ’s practice located?
What is Dr. Lyudmila Ivanovna Petruk ’s gender?
Is Dr. Lyudmila Ivanovna Petruk a sole practitioner?
Is Dr. Lyudmila Ivanovna Petruk accepting new patients?
What languages does Dr. Lyudmila Ivanovna Petruk speak?
Does Dr. Lyudmila Ivanovna Petruk accept insurance?
Does Dr. Lyudmila Ivanovna Petruk offers telemedicine?
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What is Dr. Lyudmila Ivanovna Petruk ’s NPI number?
Does Dr. Lyudmila Ivanovna Petruk have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | MD00046499 | WA |
| N | 204C00000X | Sports Medicine Doctor | MD27033 | OR |
| N | 2084N0400X | Neurologist | 21092 | NV |
National Provider Identifier
| NPI | 1528154770 |
|---|---|
| Provider Name | Dr. Lyudmila Ivanovna Petruk |
| First Address | Tacoma, WA 98405-4265 |
| Second Address | Tacoma, WA 98405-4265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 10/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8543415 | (05) | WA |
| MD27033 | MEDICAL LICENSE (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.