Individual
LISA HICKS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2700 VISSING PARK RD, JEFFERSONVILLE, IN 47130-5989
(812) 246-9809
(770) 573-9513
Mailing address
2476 CANTON RD, MARIETTA, GA 30066-5377
(812) 246-9809
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001505A
IN
363A00000X
Physician Assistant
PA03855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190024301
—
TX
05
—
190024302
—
TX
05
—
190024303
—
TX
05
—
300011148
—
IN
Enumeration date
10/10/2006
Last updated
10/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us