Individual provider · Type 1 NPI
Thomas Lee Shook, MD
Specialist · Los Angeles, CA
NPI number
1104810050
Active
Practice location
1245 Wilshire Blvd, Ste 703
Los Angeles, CA 90017-4810
Fax (213) 250-8945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G59793 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1104810050
Thomas Lee Shook, MD's National Provider Identifier is 1104810050, issued on Sep 7, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 13, 2007.