Individual
LAURA ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3655
(541) 673-3469
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20084227RN
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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