Individual
DR. ELIZABETH LEET THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8821 COLUMBIA 100 PARKWAY, COLUMBIA, MD 21045
(410) 997-6400
(410) 730-6198
Mailing address
8821 COLUMBIA 100 PARKWAY, COLUMBIA, MD 21045
(410) 997-6400
(410) 730-6198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0079485
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7450451-00
—
MD
Enumeration date
05/03/2012
Last updated
08/08/2019
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