# LISA HICKS THOMPSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376631903
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001505A | IN | Yes |
| 363A00000X | Physician Assistant | PA03855 | TX | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/19/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 190024301 | — | TX |
| 05 | — | 190024302 | — | TX |
| 05 | — | 190024303 | — | TX |
| 05 | — | 300011148 | — | IN |