Individual
LUCY PAVELKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
S67W14979 KOSO DR, MUSKEGO, WI 53150-8954
(414) 218-9884
Mailing address
S67W14979 KOSO DR, MUSKEGO, WI 53150-8954
(414) 218-9884
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86211061
WI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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