Individual provider · Type 1 NPI
Laurie Lee Thomas, PAC
Medical Physician Assistant · Crescent City, CA
NPI number
1821186180
Active
Practice location
550 E Washington Blvd
Crescent City, CA 95531-8342
Fax (707) 465-6070
Mailing address
670 Ninth Street, Suite 203
Arcata, CA 95521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA17911 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1821186180
Laurie Lee Thomas, PAC's National Provider Identifier is 1821186180, issued on Oct 11, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Crescent City, CA. The record was last updated on Jan 11, 2012.