LARA MICHELLE PATTERSON


Address: 4010 Pleasant Ln, Mount Pleasant, WI 53405-4839
Phone: 6083582830

LARA MICHELLE PATTERSON (NPI# 1396368890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396368890
Entity Type Individual
Full Name LARA MICHELLE PATTERSON
Credential LAC
Practice Address 4010 Pleasant Ln
Mount Pleasant
WI 53405-4839
Practice Telephone 6083582830
Mailing Telephone 6083582830
Enumeration Date 2020-05-19
Last Update Date 2020-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist 997-55 WI Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI DEPT OF SAFETY AND PROFESSIONAL SERVICES 997-55 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
147 W Ryan Rd, Oak Creek, WI 531544401 4149752730

Office Location

Street Address 4010 PLEASANT LN
City MOUNT PLEASANT
State WI
Zip Code 53405-4839

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NPI Name Taxonomy Address Enumeration
1609407923 Anita Kathy Nykaza Dietitian, Registered 3805 A Suite 311, Racine, WI 53405 2020-01-27
1023666062 Shawn L Drulia Physician Assistant 3805 Spring St #320, Racine, WI 53405 2019-09-03
1235627720 Oxygen One, Inc. Durable Medical Equipment & Medical Supplies 3805a Spring Street, Suite 210, Racine, WI 53405 2018-04-30
1356838650 Melissa Metzger Psychologist 2340 Mohr Ave, Racine, WI 53405 2018-04-23
1689029217 Melissa Ileen Swainston Nurse Practitioner 3803 Spring St., Suite Number 410, Racine, WI 53405 2016-05-02
1215305487 Denetta Lauraelaine Flowers Licensed Practical Nurse 4311 Durand Ave., #104, Mt.pleasant, WI 53405 2015-09-04
1841675204 Colleen Koderca Registered Nurse 3317-meachem Rd, Racine, WI 53405 2015-07-28
1790102986 Georges Wakim Specialist/Technologist 3811 Spring St., Suite 102, Racine, WI 53405 2014-03-25
1982021176 Matthew F Patzke Specialist/Technologist 3811 Spring Street Suite 102, Racine, WI 53405 2014-03-25
1073930269 Jessica Geisler Specialist/Technologist 3811 Spring Street Suite #102, Racine, WI 53405 2014-03-25
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033754213 Kenneth Kim Litterer Acupuncturist 6216 Washington Ave Ste 6, Mount Pleasant, WI 53406-5658 2019-11-12
1386143766 Anthony Megna Acupuncturist 4900 Spring St, Mount Pleasant, WI 53406-2920 2018-02-12
1508372913 Karmal Spaeth Acupuncturist 1041 Johnnie Dodds Blvd Ste 2c, Mount Pleasant, SC 29464-6156 2017-12-20
1669987152 Kyung J Lee Acupuncturist 735 Meadowbrook Dr, Mount Pleasant, MI 48858-9504 2017-12-06
1104223973 Lisa Carolyn Dunlevy Acupuncturist 950 Sea Gull Dr, Mount Pleasant, SC 29464-4145 2014-11-22
1083045777 Acupuncture Therapy & Herbal Clinic Acupuncturist 1139 S Sunnyslope Dr Ste 203, Mount Pleasant, WI 53406-3998 2013-12-05
1831535657 Red Dragon Acupuncture LLC Acupuncturist 5605 Washington Ave, Ste 8f, Mount Pleasant, WI 53406-4056 2013-05-20
1023231115 James Alexander Hogg Acupuncturist 1465 Stuart Engals Blvd, Mount Pleasant, SC 29464-3376 2007-04-10
1942831995 Jenny Karns Acupuncturist 1041 Johnnie Dodds Blvd, Courtyard A, Ste 2-c, Mount Pleasant, SC 29464 2020-01-29
1093367989 Ashley Whitmire Acupuncturist 1041 Johnnie Dodds Blvd Ste 2c, Mount Pleasant, SC 29464-6156 2019-07-11
Find all providers in MOUNT PLEASANT

Competitor

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City MOUNT PLEASANT
Zip Code 53405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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