Dr Lorraine Lavonne Thompson, MD | |
450 Lariat Ln, Ellensburg, WA 98926-5011 | |
(501) 246-1236 | |
Not Available |
Full Name | Dr Lorraine Lavonne Thompson |
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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 |
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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 |
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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 |
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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 |
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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 |