Individual
LISA KAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-GNP
Contact information
Practice address
501 N ELAM AVE, GREENSBORO, NC 27403
(336) 832-1100
Mailing address
PO BOX 14878, GREENSBORO, NC 27415
(336) 832-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
900283
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00024806
RAILROAD MEDICARE
NC
Enumeration date
05/01/2007
Last updated
09/17/2021
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