Individual
LUCAS T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
3096 MODOC RD, BURKESVILLE, KY 42717-8879
(704) 591-3352
Mailing address
3096 MODOC RD, BURKESVILLE, KY 42717-8879
(704) 591-3352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/02/2023
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