MEDICARE: JOSEPH LANE THOMPSON MD

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
1	207N00000X	Dermatology Physician	14848	KY
2	207ND0900X	Dermatopathology Physician	14848	KY

General Provider Information

NPI Number	:	1427040476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH LANE THOMPSON MD

Provider Business Mailing Address
First Line	:	4010 DUPONT CIR
Second Line	:	#511
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4812
Country	:	US
Telephone Number	:	502-895-5471
Fax Number	:	502-895-5520

Provider Business Practice Location Address
First Line	:	4010 DUPONT CIR
Second Line	:	#511
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-4812
Country	:	US
Telephone Number	:	502-895-5471
Fax Number	:	502-895-5520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	09/11/2025

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