Provider Demographics
NPI:1457002651
Name:PATTERSON, LATONYA DENISE
Entity Type:Individual
Prefix:MS
First Name:LATONYA
Middle Name:DENISE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LATONYA
Other - Middle Name:DENISE
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:904 OLIVER HILL WAY APT 409
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-1630
Mailing Address - Country:US
Mailing Address - Phone:804-489-3781
Mailing Address - Fax:
Practice Address - Street 1:904 OLIVER HILL WAY APT 409
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1630
Practice Address - Country:US
Practice Address - Phone:804-489-3781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory