Provider Demographics
NPI:1790926848
Name:LEA THOMPSON LTD,P.C
Entity Type:Organization
Organization Name:LEA THOMPSON LTD,P.C
Other - Org Name:ACCENTS ON HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:YODER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-773-9798
Mailing Address - Street 1:5950 S WILLOW DR
Mailing Address - Street 2:SUITE #205
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5170
Mailing Address - Country:US
Mailing Address - Phone:303-773-9798
Mailing Address - Fax:303-773-9865
Practice Address - Street 1:5950 S WILLOW DR
Practice Address - Street 2:SUITE #205
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5170
Practice Address - Country:US
Practice Address - Phone:303-773-9798
Practice Address - Fax:303-773-9865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3894111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46683Medicare UPIN