Provider Demographics
NPI:1376268250
Name:THOMPSON, MORGAN LASHA (ARNP)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:LASHA
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4343 NEWBERRY RD STE 14
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2826
Mailing Address - Country:US
Mailing Address - Phone:352-224-2384
Mailing Address - Fax:352-373-0613
Practice Address - Street 1:4343 NEWBERRY RD STE 14
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-2826
Practice Address - Country:US
Practice Address - Phone:352-224-2384
Practice Address - Fax:352-373-0613
Is Sole Proprietor?:No
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP110191912081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP11019191OtherARNP