Individual
MS. PATRICE ANN LANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.,C.H.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002315
CT
225100000X
Physical Therapist
0057134
NY
2251H1200X
Hand Physical Therapist
002315
CT
2251H1200X
Hand Physical Therapist
0057134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002315CT01
ANTHEM BLUE CROSS
CT
01
—
ZS605
OXFORD
CT
Enumeration date
01/15/2007
Last updated
03/08/2008
Update your record
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