Individual
LACI MAY PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Mailing address
23000 MOAKLEY ST STE 102, LEONARDTOWN, MD 20650-2916
(301) 475-5555
(301) 475-5914
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C07172
MD
Other
Enumeration date
08/07/2018
Last updated
08/22/2024
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