Individual
TYUS PATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S MEYERS DR APT 215, LAFAYETTE, LA 70508-7169
(318) 880-2142
Mailing address
100 S MEYERS DR APT 215, LAFAYETTE, LA 70508-7169
(318) 880-2142
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
011183758
LA
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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