Thomas, Larissa Ann
Thomas, Larissa Ann is an individual health care provider with primary practice located at 2011 4Th St , La Grande OR 97850-2511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Larissa Ann can be contacted via phone (541) 963-4139.Contact Information
Primary practice address
2011 4Th St
La Grande OR 97850-2511
Phone: (541) 963-4139
Fax: (541) 429-6661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD168475 | Oregon |
Profile Details
| NPI number | 1720344393 |
|---|---|
| LBN Legal business name | Thomas, Larissa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2012 |
| Last updated | Jan 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720344393 | NPPES |
| Other | R184141 | MEDICARE PTAN PART A | |
| Other | R184162 | MEDICARE PTAN PART A |
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