Provider Demographics
NPI:1689030132
Name:THOMPSON, CORINNE (DVM)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DVM
Mailing Address - Street 1:5405 MOUNT DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-3377
Mailing Address - Country:US
Mailing Address - Phone:219-322-6825
Mailing Address - Fax:708-423-3484
Practice Address - Street 1:3811 W 95TH ST
Practice Address - Street 2:LEPAR ANIMAL HOSPITAL
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2017
Practice Address - Country:US
Practice Address - Phone:708-423-3200
Practice Address - Fax:708-423-3484
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-13
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL090008035174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian