Basic Information
| Provider Information | |||||||||
| NPI: | 1407032865 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PECCHIONI | ||||||||
| FirstName: | LOUISA | ||||||||
| MiddleName: | LUCIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | ONE ELIZABETH PLACE | ||||||||
| Address2: | SUITE 10A | ||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372284126 | ||||||||
| FaxNumber: | 9372280247 | ||||||||
| Practice Location | |||||||||
| Address1: | ONE ELIZABETH PLACE | ||||||||
| Address2: | SUITE 10A | ||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 45417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9372284126 | ||||||||
| FaxNumber: | 9372280247 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/16/2008 | ||||||||
| LastUpdateDate: | 10/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0129X | 35.086267 | OH | Y | Allopathic & Osteopathic Physicians | Surgery | Vascular Surgery |
No ID Information.