Lacie Petro, M.D.

NPI #1619189859 in Normal, Illinois

Provider Information

NPI Number: 1619189859
Entity Type: Individual
Name: Lacie Petro, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 3, 2007
Last Updated: Feb 12, 2021

Practice Location

Address: 1302 FRANKLIN AVE STE 1100
City: Normal
State: Illinois
ZIP Code: 61761-0016
Phone: (309) 268-5620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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