Provider Demographics
NPI:1487949772
Name:THOMPSON, ALISON LAUREN (TRAINEE)
Entity type:Individual
Prefix:MISS
First Name:ALISON
Middle Name:LAUREN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:TRAINEE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 N MOUNT MCKINLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-3349
Mailing Address - Country:US
Mailing Address - Phone:714-724-5102
Mailing Address - Fax:
Practice Address - Street 1:1775 N MOUNT MCKINLEY BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-3349
Practice Address - Country:US
Practice Address - Phone:714-724-5102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program