Individual
ELIZABETH THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 JEANNE ST, LAFAYETTE, LA 70506-2418
(918) 269-5936
Mailing address
1212 JEANNE ST, LAFAYETTE, LA 70506-2418
(918) 269-5936
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200268
LA
Other
Enumeration date
11/13/2019
Last updated
11/27/2023
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