Provider Demographics
NPI:1548499460
Name:THOMPSON, LUCIA (FNP)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:CA
Mailing Address - Zip Code:93221-1750
Mailing Address - Country:US
Mailing Address - Phone:559-257-2501
Mailing Address - Fax:559-206-9906
Practice Address - Street 1:216 E PINE ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93221-1750
Practice Address - Country:US
Practice Address - Phone:559-582-9000
Practice Address - Fax:559-206-9906
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19105363LF0000X
CARN584057363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily