Organization
MOBILE ANESTHESIA PROFESSIONALS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE L THOMPSON MD (OWNER)
(501) 246-1236
Entity
Organization
Contact information
Practice address
450 LARIAT LN, ELLENSBURG, WA 98926-5011
(501) 246-1236
Mailing address
450 LARIAT LN, ELLENSBURG, WA 98926-5011
(501) 246-1236
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
12/10/2020
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