Lara Thompson

NPI #1255745964 in Ruleville, Mississippi

Provider Information

NPI Number: 1255745964
Entity Type: Individual
Name: Lara Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 20, 2014
Last Updated: Jun 20, 2014

Practice Location

Address: 548 HIGHWAY 8
City: Ruleville
State: Mississippi
ZIP Code: 38771-9729
Phone: (662) 649-6174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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