Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 15421R | LA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 15421R | LA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 15421R | LA |
NPI | 1295743417 |
---|---|
Provider Name | Linda G Thompson |
First Address | La Place, LA 70068-5424 |
Second Address | La Place, LA 70068-5424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0900849 | UNITED HEALTHCARE (01) | |
1196738 | (05) | LA |
217299 | COVENTRY (01) | |
4084737 | AETNA (01) | |
B96692 | (02) | |
P00152433 | RAILROAD MEDICARE (01) |