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Luke Pettet, DO
Student in an Organized Health Care Education/Training Program in Elmira, New York
NPI 1104566173

Luke Pettet is a Student in an Organized Health Care Education/Training Program based in Elmira, NY. Luke Pettet practices in Elmira, NY and has the professional credentials of DO. The NPI Number for Luke Pettet is 1104566173 and holds a License No. (New York).

The current practice location address for Luke Pettet is 147 W Gray St Apt 704, Elmira, NY and can be reached out via phone at 801-793-7152.

Location: 147 W Gray St Apt 704, Elmira, NY, 14901-3022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104566173
Provider Name
Luke Pettet
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
147 W Gray St Apt 704, Elmira, NY, 14901-3022
Phone Number
801-793-7152
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
147 W Gray St Apt 704
City
Elmira
State
New York
Zip
14901-3022
Phone Number
801-793-7152
Fax Number
person
Provider Business Mailing Address Details
Address
147 W Gray St Apt 704
City
Elmira
State
New York
Zip
14901-3022
Phone Number
801-793-7152
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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