Individual
THOMAS JOSHUA LALOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
10988 SPLENDOR LOOP, EAGLE RIVER, AK 99577-8198
(850) 207-2224
Mailing address
10988 SPLENDOR LOOP, EAGLE RIVER, AK 99577-8198
(850) 207-2224
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
30188
AK
163WR0006X
Registered Nurse First Assistant
9279572
FL
363L00000X
Nurse Practitioner
Primary
125179
AK
363L00000X
Nurse Practitioner
APRN9279572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1674011
—
AK
Enumeration date
06/08/2013
Last updated
12/28/2021
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