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NPI Code Detail

MEDICARE: BARBARA THOMPSON LVN

MEDICARE: BARBARA THOMPSON LVN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational NurseVN253766CA
2174400000XSpecialist

General Provider Information

NPI Number : 1053497602
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA THOMPSON LVN
Provider Business Mailing Address
First Line : 1664 BROADWAY
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5201
Country : US
Telephone Number : 619-579-8685
Fax Number :
Provider Business Practice Location Address
First Line : 1664 BROADWAY
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5201
Country : US
Telephone Number : 619-579-8685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 08/13/2021

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Directions to “ BARBARA THOMPSON LVN” Practice Location

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