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Individual

LISA E THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
181 MALCOLM X BLVD, UNIT 2, NEW YORK, NY 10026-1364
(646) 883-2273
(203) 632-4590
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2000300
NM
207P00000X
Emergency Medicine Physician
271497-1
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
43180
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000R8935
NM
05
418592
AZ
Enumeration date
08/30/2006
Last updated
05/20/2016
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