Provider Demographics
NPI:1033373014
Name:THOMPSON, RACHEL LEANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEANNE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N DUKE ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2019
Mailing Address - Country:US
Mailing Address - Phone:717-299-4644
Mailing Address - Fax:717-390-2916
Practice Address - Street 1:701 N DUKE ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-2019
Practice Address - Country:US
Practice Address - Phone:717-299-4644
Practice Address - Fax:717-390-2916
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053421363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical