Individual
LARRY W THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PEACH ST, SUITE 300, ERIE, PA 16507-1423
(814) 459-1851
(814) 452-0026
Mailing address
100 PEACH ST, SUITE 100, ERIE, PA 16507-1423
(814) 459-1851
(814) 452-0026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD063706L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009353940001
—
PA
01
—
1590926
HIGHMARK BC/BS
PA
01
—
P00156458
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
02/21/2023
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