Provider Demographics
NPI:1891934279
Name:PATTERSON, LORONZA TYRONE SR
Entity Type:Individual
Prefix:MR
First Name:LORONZA
Middle Name:TYRONE
Last Name:PATTERSON
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9660 MISSISSIPPI ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-5604
Mailing Address - Country:US
Mailing Address - Phone:409-350-0433
Mailing Address - Fax:409-347-8488
Practice Address - Street 1:9660 MISSISSIPPI ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-5604
Practice Address - Country:US
Practice Address - Phone:409-350-0433
Practice Address - Fax:409-347-8488
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health