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Individual
LUCY MICHELLE THOMPSON
Active
Individual
LUCY MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103207
NCCPA
—
Enumeration date
11/12/2020
Last updated
11/12/2020
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