Individual
LISA PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1810 NW 6TH ST, SUITE D, GAINESVILLE, FL 32609-8548
(352) 377-7040
Mailing address
1810 NW 6TH ST, SUITE D, GAINESVILLE, FL 32609-8548
(352) 377-7040
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA0011899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5171
BCBS PROVIDER NUMBER
FL
Enumeration date
04/04/2007
Last updated
05/22/2015
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