Individual
TABIA THOMPSON-LAMOTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1279 W MAIN ST, WATERBURY, CT 06708-3101
(203) 755-5490
Mailing address
1279 W MAIN ST, WATERBURY, CT 06708-3101
(203) 755-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
345796
NY
363LF0000X
Family Nurse Practitioner
Primary
9249
CT
Other
Enumeration date
09/26/2020
Last updated
02/06/2022
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