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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1033614201

Philip Rudolph Lettieri, MD is a Student in an Organized Health Care Education/Training Program in Fort Campbell, Kentucky. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA11311100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1033614201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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