Individual
MRS. LAWANA KAY PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1702 EAST NEW MADRID, REPUBLIC, MO 65738
(417) 616-9551
Mailing address
1702 EAST NEW MADRID, REPUBLIC, MO 65738
(417) 616-9551
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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