Individual
LUKE PAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
1420 MULBERRY ST APT 303, DES MOINES, IA 50309-3600
(224) 509-5800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.406189
IL
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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