DR. Phillip Lane Patterson SR., O.D.

NPI #1073713228 in Tullahoma, Tennessee

Provider Information

NPI Number: 1073713228
Entity Type: Individual
Name: DR. Phillip Lane Patterson SR., O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 24, 2007
Last Updated: Jul 24, 2007

Practice Location

Address: 1905 N JACKSON ST
Address 2: STE 440
City: Tullahoma
State: Tennessee
ZIP Code: 37388-2200
Phone: (931) 455-8707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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