Lisa M Thompson, CCC-SLP is a
Speech-language Pathologist based in Glencoe, Minnesota. Lisa M Thompson is licensed to practice in Minnesota (license number 5975) and her current practice location is
2105 Hennepin Avenue North, Glencoe, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 864-7790.
NPI number for Lisa M Thompson is 1316429160 and her current mailing address is 8451 Kimball Dr, Eden Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316429160.
Healthcare Provider's Profile
Full Name | Lisa M Thompson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2105 Hennepin Avenue North, Glencoe, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316429160
- Provider Enumeration Date: 08/29/2018
- Last Update Date: 08/29/2018
Medical Identifiers
Medical identifiers for Lisa M Thompson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316429160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 5975 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Thompson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa M Thompson, CCC-SLP 8451 Kimball Dr, Eden Prairie, MN 55347-2135 Ph: (612) 214-0181 | Lisa M Thompson, CCC-SLP 2105 Hennepin Avenue North, Glencoe, MN 55336 Ph: (320) 864-7790 |
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