Individual
MR. LOUIS THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 314-5290
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00054958
WA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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