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Individual

DR. SHELLY K THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2308 E MAIN ST, SUITE G, NEW IBERIA, LA 70560-4041
(337) 367-2001
(337) 365-3050
Mailing address
401 YOUNGSVILLE HWY, SUITE 100, LAFAYETTE, LA 70508-5173
(337) 330-0031
(337) 330-0059

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
201197
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1214779
LA
Enumeration date
05/24/2007
Last updated
09/13/2016
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