Lionel Thompson, COTA

NPI 1114306214 · on the registry since 2015 · sole proprietor

Practice

Address: 6101 16th St
Racine, WI 53406
Phone: (262) 898-2712
Fax: (262) 619-1447
Organisation at this address: Lincoln Lutheran Community Care Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-05-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin