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NPI Code Detail

MEDICARE: LAURA THOMAS

MEDICARE: LAURA THOMAS
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1235064098
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA THOMAS
Provider Business Mailing Address
First Line : 380 SUWANNEE TRAIL ST
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42103-7956
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 433 SHELTON LN
Second Line :
City : RUSSELLVILLE
State : KY
Zip : 42276-7600
Country : US
Telephone Number : 270-901-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ LAURA THOMAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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