Individual
ANTONIO LAMAR THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
(540) 981-7855
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001263136
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189317
VA
Other
Enumeration date
02/27/2023
Last updated
03/12/2024
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