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Individual

LANCE S PATTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
120 HOSPITAL DR, STE 130, JEFFERSON CITY, TN 37760-5279
(865) 475-4742
(865) 262-0100
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15711
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3706633
MEDICARE LEGACY GROUP
TN
01
P00467502
RR MEDICARE PIN
TN
Enumeration date
06/27/2005
Last updated
09/27/2012
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