Provider Demographics
NPI:1487607339
Name:THOMPSON, LORI ANN (MD)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:LORI
Other - Middle Name:ANN
Other - Last Name:FOS-THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:68 SWEETEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2318
Mailing Address - Country:US
Mailing Address - Phone:828-210-3150
Mailing Address - Fax:828-210-3160
Practice Address - Street 1:68 SWEETEN CREEK RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2318
Practice Address - Country:US
Practice Address - Phone:828-210-3150
Practice Address - Fax:828-210-3160
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30512207Q00000X
LAMD200008207Q00000X, 208M00000X
NC2019-02083207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1457809Medicaid
SC305128Medicaid
SCAA27886084OtherMEDICARE PIN
MS07085774Medicaid
MS07085774Medicaid