Individual
LISA ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2604 ROSE CT, COLUMBIA, MO 65202-1209
(573) 474-8382
(573) 474-8392
Mailing address
2604 ROSE CT, COLUMBIA, MO 65202-1209
(573) 474-8382
(573) 474-8392
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
106223
MO
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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