MR. Lorenzo Angelo Pavoloni, PA-C

NPI #1043830896 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1043830896
Entity Type: Individual
Name: MR. Lorenzo Angelo Pavoloni, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 22, 2020
Last Updated: Oct 19, 2022

Practice Location

Address: 4050 COON RAPIDS BLVD NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-2522
Phone: (763) 236-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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