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NPI Code Detail

MEDICARE: MRS. LAVERNA KAYE THOMPSON LVN

MEDICARE: MRS. LAVERNA KAYE 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 NurseVN 190655CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1VN 190655OTHERCASTATE NURSING LICENSE NUMBER

General Provider Information

NPI Number : 1841436722
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAVERNA KAYE THOMPSON LVN
Provider Business Mailing Address
First Line : HC 4 BOX 49017
Second Line :
City : ALTURAS
State : CA
Zip : 96101-9518
Country : US
Telephone Number : 530-233-3549
Fax Number :
Provider Business Practice Location Address
First Line : HC 4 BOX 49017
Second Line :
City : ALTURAS
State : CA
Zip : 96101-9518
Country : US
Telephone Number : 530-233-3549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2008
Last Update Date : 12/26/2008

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