LAVONNA D PATTERSON

INNOVATIVE HEALTH CARE CONCEPTS INC

Dr LAVONNA D PATTERSON is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2001.

Contact

INNOVATIVE HEALTH CARE CONCEPTS INC

111 E 16TH ST
IDAHO FALLS
ID
834045919

Tel: 2085231130

LAVONNA D PATTERSON Information

Npi 1588682652
Pac Id 1254334758
Professional Enrollment Id I20060823000509
Last Name PATTERSON
First Name LAVONNA
Middle Name D
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name INNOVATIVE HEALTH CARE CONCEPTS INC
Group Practice Pac Id 8628391117
Number Of Group Practice Members 7
Line 1 Street Address 111 E 16TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834045919
Phone Number 2085231130
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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