Individual
LUKE P POVEROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 924-5078
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101282756
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
0101282756
VA
Other
Enumeration date
04/12/2017
Last updated
08/27/2024
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