Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 2000300 | NM |
N | 207P00000X | Emergency Physician | 271497-1 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 43180 | AZ |
NPI | 1144339474 |
---|---|
Provider Name | Lisa E Thompson |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | New York, NY 10026-1364 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 20/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000R8935 | (05) | NM |
418592 | (05) | AZ |
H40006 | (02) |