Provider Demographics
NPI:1275272072
Name:PATTON, LINDSEY (CHWC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:PATTON
Suffix:
Gender:F
Credentials:CHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:343 LEXINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1607
Mailing Address - Country:US
Mailing Address - Phone:804-731-2647
Mailing Address - Fax:
Practice Address - Street 1:500 LIBBIE AVE STE 1A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-2654
Practice Address - Country:US
Practice Address - Phone:804-731-2647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAA-3528074171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach