Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Lyudmila Ivanovna Petruk, MD

Individual provider Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1528154770

Dr. Lyudmila Ivanovna Petruk, MD is a Neurology in Tacoma, Washington. Graduated from University of Washington School of Medicine in 2002, 24 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota, Nevada, Oregon and Washington and 1 more.

Years since qualifying
24
Trained at
University of Washington School of Medicine
Licensed in
MN, NV, OR, WA, WI
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone: (253) 596-3410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 834 Sheridan St, Port Townsend, WA 98368-2443 — (360) 774-8125
  • 1608 S J St Fl 5, Tacoma, WA 98405-4930 — (253) 274-7505
  • 535 Hospital Rd, New Richmond, WI 54017-1449 — (715) 243-3400

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD00046499 (WA)
Sports Medicine (Neuromusculoskeletal Medicine) Physician Taxonomy 204C00000X · Licence MD27033 (OR)
Neurology Physician Taxonomy 2084N0400X · Licence 4215 (WI)
Neurology Physician Taxonomy 2084N0400X · Licence 21092 (NV)
Neurology Physician Taxonomy 2084N0400X · Licence 76532 (MN)

Record details

NPI number1528154770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 24, 2026
Certification dateMarch 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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