MEDICARE: LASHAWN PATTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1744P3200X	Prosthetics Case Management	121071	OH
2	332BC3200X	Customized Equipment (DME)		OH
3	335E00000X	Prosthetic/Orthotic Supplier		OH

General Provider Information

NPI Number	:	1184183774
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LASHAWN PATTON

Provider Business Mailing Address
First Line	:	2150 NOBLE RD UNIT 3
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-1736
Country	:	US
Telephone Number	:	216-678-0962
Fax Number	:

Provider Business Practice Location Address
First Line	:	2150 NOBLE RD
Second Line	:
City	:	EAST CLEVELAND
State	:	OH
Zip	:	44112-1736
Country	:	US
Telephone Number	:	216-678-0962
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2019
Last Update Date	:	01/09/2026

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Directions to “ LASHAWN PATTON ” Practice Location

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