Individual
LAURA E. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7910 W JEFFERSON BLVD STE 120, FORT WAYNE, IN 46804-4159
(260) 435-7612
(260) 435-7672
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004186A
IN
Other
Enumeration date
10/18/2012
Last updated
09/30/2020
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