Individual
DR. LARS DAVID THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 E MAIN ST STE 2A, CANTON, NY 13617-1400
(315) 714-2559
(315) 386-3056
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-7112
(315) 870-9369
(315) 870-9364
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
217623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082882
—
NY
Enumeration date
09/21/2006
Last updated
10/06/2022
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