Individual
LORA M.A. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY7143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75492
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/11/2006
Last updated
10/12/2023
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