Individual
LISA MICHELE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
290 BURLEY AVE, HOPKINSVILLE, KY 42240-8725
(270) 707-2098
(270) 707-2099
Mailing address
3999 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4929
(270) 888-2205
(270) 886-0392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1065198
KY
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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