Provider Demographics
NPI:1285805523
Name:WEST, PATRICIA JOANNE (LAC)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:JOANNE
Last Name:WEST
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 YORK RD STE 109
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2275
Mailing Address - Country:US
Mailing Address - Phone:410-337-9293
Mailing Address - Fax:
Practice Address - Street 1:2300 YORK RD STE 109
Practice Address - Street 2:
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2275
Practice Address - Country:US
Practice Address - Phone:410-337-9293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU630171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist