Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 94-01330 | NC |
N | 2080A0000X | Adolescent Medicine | 94-01330 | NC |
NPI | 1124074984 |
---|---|
Provider Name | Lisa Schroepfer Thomas |
First Address | Mooresville, NC 28117-5608 |
Second Address | Mooresville, NC 28117-5608 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 24/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
891139X | (05) | NC |