Individual
LEAH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
113 LATIGO LN STE D, CANON CITY, CO 81212-8115
(719) 371-0000
Mailing address
PO BOX 1868, CANON CITY, CO 81215-1868
(719) 371-0000
(888) 965-6893
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0998021-NP
CO
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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