Thompson, Lee Walton

Thompson, Lee Walton is an individual health care provider with primary practice located at 3 Mobile Infirmary Cir Suite 305, Mobile AL 36607-3520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Thompson, Lee Walton can be contacted via phone (251) 433-5557.

Contact Information

Primary practice address
3 Mobile Infirmary Cir Suite 305 Mobile AL 36607-3520
Fax: (251) 433-5558
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 24560 Alabama

Profile Details

NPI number 1063479905
LBN Legal business name Thompson, Lee Walton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 9th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063479905 NPPES
Mississippi Other 00126562 MISSISSIPPI MEDICAID
Mississippi Other 051507487 MISSISSIPPI MEDICAID
Mississippi MEDICAID 009986440 MISSISSIPPI MEDICAID

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