Individual
LEE WALTON THOMPSON
Active
Individual
LEE WALTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
24560
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00126562
MISSISSIPPI MEDICAID
MS
05
—
009986440
—
AL
01
—
051507487
BCBS OF ALABAMA
AL
Enumeration date
04/26/2006
Last updated
02/09/2012
Update your record
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