Provider Demographics
NPI:1215695291
Name:THOMSON, LAUREN LEEANN (PA)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:LEEANN
Last Name:THOMSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21309 FOSTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4209
Mailing Address - Country:US
Mailing Address - Phone:281-587-1700
Mailing Address - Fax:
Practice Address - Street 1:21309 FOSTER RD STE 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-4209
Practice Address - Country:US
Practice Address - Phone:281-587-1700
Practice Address - Fax:281-907-6003
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA15427363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant