Provider Demographics
NPI:1376915595
Name:CHAMIEKA PATTERSON
Entity Type:Organization
Organization Name:CHAMIEKA PATTERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:
Authorized Official - First Name:CHAMIEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON-PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-534-1297
Mailing Address - Street 1:26241 LAKE SHORE BLVD APT 1664
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44132-1146
Mailing Address - Country:US
Mailing Address - Phone:216-534-1297
Mailing Address - Fax:
Practice Address - Street 1:26241 LAKE SHORE BLVD APT 1664
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44132-1146
Practice Address - Country:US
Practice Address - Phone:216-534-1297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-27
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health