Thompson, Lashunda
Thompson, Lashunda is an individual health care provider with primary practice located at 1305 Church Rd E , Southaven MS 38671-9711. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Thompson, Lashunda can be contacted via phone (662) 349-1141.Contact Information
Primary practice address
1305 Church Rd E
Southaven MS 38671-9711
Phone: (662) 349-1141
Fax: (662) 349-6227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5875 | Louisiana |
| Dental Providers / Dentist | 122300000X | 3526-09 | Mississippi |
Profile Details
| NPI number | 1740453240 |
|---|---|
| LBN Legal business name | Thompson, Lashunda |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2008 |
| Last updated | Mar 20th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740453240 | NPPES |
| Mississippi | MEDICAID | 09709245 |
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