Provider Demographics
NPI:1043425119
Name:THOMAS, LAWRENCE WILLIAM (CCP)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:WILLIAM
Last Name:THOMAS
Suffix:
Gender:M
Credentials:CCP
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Mailing Address - Street 1:1140 KIRKWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-9206
Mailing Address - Country:US
Mailing Address - Phone:530-225-7579
Mailing Address - Fax:530-221-2120
Practice Address - Street 1:1140 KIRKWOOD CIR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-9206
Practice Address - Country:US
Practice Address - Phone:530-225-7579
Practice Address - Fax:530-221-2120
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist