Individual provider · Type 1 NPI
Laura Grace Patton, PA-C
Medical Physician Assistant · Prior Lake, MN
NPI number
1689805301
Active
Practice location
4151 Willowwood Street SE
Prior Lake, MN 55372
Fax (952) 226-2601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10619 (MN) |
| Physician Assistant | 363A00000X | 10619 (MN) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Prior Lake
About NPI 1689805301
Laura Grace Patton, PA-C's National Provider Identifier is 1689805301, issued on Jul 29, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Prior Lake, MN. The record was last updated on Jul 25, 2018.