Provider Demographics
NPI:1407024888
Name:THOMPSON, ANDREW LAURENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:LAURENCE
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2440 WESTERN AVE
Mailing Address - Street 2:APT# 402
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1325
Mailing Address - Country:US
Mailing Address - Phone:206-931-8826
Mailing Address - Fax:
Practice Address - Street 1:2440 WESTERN AVE
Practice Address - Street 2:APT# 402
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1325
Practice Address - Country:US
Practice Address - Phone:206-931-8826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAFE000490942085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology