Healthcare Provider Details

I. General information

NPI: 1366553935
Provider Name (Legal Business Name): LAUREE LYNELL THOMPSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREE LYNELL RIPPLE

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2830 CALDER ST NICU
BEAUMONT TX
77702-1809
US

IV. Provider business mailing address

PO BOX 5130
BEAUMONT TX
77726-5130
US

V. Phone/Fax

Practice location:
  • Phone: 409-899-7890
  • Fax: 409-899-7363
Mailing address:
  • Phone: 409-351-2278
  • Fax: 409-899-7363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberL0649
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: