Individual
DR. LAWRENCE JACK THOMAS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 N MAIN ST, SUFFOLK, VA 23434-4426
(757) 539-9992
Mailing address
515 N MAIN ST, SUFFOLK, VA 23434-4426
(757) 539-9992
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213249
VA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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