Individual
MISS LADONNA LYNN THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
3100 N 4TH ST, LONGVIEW, TX 75605-5139
(903) 247-4404
(903) 247-4408
Mailing address
3100 N 4TH ST, LONGVIEW, TX 75605-5139
(903) 247-4404
(903) 247-4408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03444
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30138854
DPS DRUG LICENSE
TX
01
—
PA03444
STATE LICENSE
TX
Enumeration date
05/12/2006
Last updated
03/07/2023
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