Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD19460 | TN |
N | 2080P0208X | Pediatric Infectious Diseases | MD19460 | TN |
NPI | 1407883184 |
---|---|
Provider Name | Dr. Lori E.r. Patterson |
First Address | Knoxville, TN 37922-3151 |
Second Address | Knoxville, TN 37916-2301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3028623 | BLUE CROSS (01) | TN |
3046744 | (05) | TN |
64793912 | (05) | KY |