Individual
DR. LAURIE L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.0003240
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36957836
—
CO
01
—
OPT.0003240
CO OPTOMETRY LICENSE
CO
Enumeration date
07/12/2016
Last updated
06/12/2019
Update your record
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