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NPI Code Detail

MEDICARE: LATORIA THOMPSON

MEDICARE:   LATORIA  THOMPSON
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
1164W00000XLicensed Practical Nurse194738OH

General Provider Information

NPI Number : 1104173947
Entity Type Code : Individual
Provider Name (Legal Business Name) : LATORIA THOMPSON
Provider Business Mailing Address
First Line : 1901 DALE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6005
Country : US
Telephone Number : 513-906-0194
Fax Number :
Provider Business Practice Location Address
First Line : 1901 DALE RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6005
Country : US
Telephone Number : 513-546-1677
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2012
Last Update Date : 04/26/2026

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Directions to “ LATORIA THOMPSON ” Practice Location

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