| Dr Lorraine Lavonne Thompson, MD | |
|
450 Lariat Ln, Ellensburg, WA 98926-5011 | |
| (501) 246-1236 | |
| Not Available |
| Full Name | Dr Lorraine Lavonne Thompson |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology - Pediatric Anesthesiology |
| Location | 450 Lariat Ln, Ellensburg, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548461767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | E-6336 (Arkansas) | Secondary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | 60195227 (Washington) | Primary |
| Entity Name | University Of Arkansas For Medical Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431 |
| Entity Name | Arkansas Childrens Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796 |
| Entity Name | Arkansas Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lorraine Lavonne Thompson, MD 450 Lariat Ln, Ellensburg, WA 98926-5011 Ph: (012) 461-2365 | Dr Lorraine Lavonne Thompson, MD 450 Lariat Ln, Ellensburg, WA 98926-5011 Ph: (501) 246-1236 |
Nathan Eppich, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 603 S Chestnut St, Ellensburg, WA 98926 Phone: 509-962-9841 |