Individual
LAURIE LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8342
(707) 465-6925
(707) 465-6070
Mailing address
670 NINTH STREET, SUITE 203, ARCATA, CA 95521
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17911
CA
Other
Enumeration date
10/11/2006
Last updated
01/11/2012
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