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Individual

LAVERNE THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4148 NORSE WAY, LONG BEACH, CA 90808-1533
(562) 858-2492
Mailing address
7000 LA PALMA AVE, B209, BUENA PARK, CA 90620-2426
(562) 858-2492

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary

Other

Enumeration date
04/11/2017
Last updated
04/11/2017
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