Individual provider · Type 1 NPI

Laura Catherine Thibodeau, PA-C

Physician Assistant · Las Cruces, NM

NPI number 1497208623 Active

Practice location

4311 E Lohman Ave
Las Cruces, NM 88011-8255

Mailing address

77 Baker Ln
Erie, CO 80516-9059

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA12107 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1497208623

Laura Catherine Thibodeau, PA-C's National Provider Identifier is 1497208623, issued on Jul 23, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Las Cruces, NM. The record was last updated on Feb 12, 2026.