Individual
DENISE K THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
299 E PENDLETON AVE, SUITE 547, LAPEL, IN 46051-5546
(765) 534-3640
(765) 534-3638
Mailing address
299 E PENDLETON AVE, SUITE 547, LAPEL, IN 46051-5546
(765) 534-3640
(765) 534-3638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01052980A
IN
207VG0400X
Gynecology Physician
01052980A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000899679
ANTHEM
IN
01
—
1326442500
GROUP NPI
IN
05
—
200453540
—
IN
01
—
8963032
CIGNA
IN
Enumeration date
07/03/2006
Last updated
11/03/2017
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