# DR. LEVESTER THOMPSON

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

## Provider details

- **NPI number:** 1649496209
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0101035947 | VA | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 10/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q004502 | — | TN |
