Individual
DR. LORI ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1302 S ROGERS ST, BLOOMINGTON, IN 47403
(812) 353-3700
(812) 353-3710
Mailing address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 353-3700
(812) 353-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01046830
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200179470
—
IN
Enumeration date
06/09/2005
Last updated
02/05/2019
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