Petruzzelli, Lilli M
Petruzzelli, Lilli M is an individual health care provider with primary practice located at 1500 East Medical Center Dr B1 Floor Cancer & Geriatrics Ctr Recp B, Ann Arbor MI 48109-0912. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Petruzzelli, Lilli M can be contacted via phone (734) 936-9020.Contact Information
Primary practice address
1500 East Medical Center Dr B1 Floor Cancer & Geriatrics Ctr Recp B
Ann Arbor MI 48109-0912
Phone: (734) 936-9020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301062812 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 4301062812 | Michigan |
Profile Details
| NPI number | 1386722015 |
|---|---|
| LBN Legal business name | Petruzzelli, Lilli M |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386722015 | NPPES |
| Michigan | MEDICAID | 3010074 |
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