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Individual

LINDSAY RENEE THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 N MAIN ST, WASILLA, AK 99654-7017
(907) 357-8780
(907) 357-8781
Mailing address
300 N MAIN ST, WASILLA, AK 99654-7017
(907) 357-8780
(907) 357-8781

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7605623
DRIVERS LICENSE
AK
Enumeration date
04/29/2019
Last updated
04/29/2019
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