Individual
LON DOUGLAS PATTON
Active
Individual
LON DOUGLAS PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH4039/T590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD 2470071
—
OH
Enumeration date
08/16/2006
Last updated
01/26/2009
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