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Dr. Thomas Lee Shook, MD
Specialist in Los Angeles, California
NPI 1104810050

Thomas Lee Shook is a Specialist based in Los Angeles, CA. Thomas Lee Shook practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Thomas Lee Shook is 1104810050 and holds a License No. G59793 (California).

The current practice location address for Thomas Lee Shook is 1245 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 213-977-7422 and via fax at 213-250-8945.

Location: 1245 Wilshire Blvd, Los Angeles, CA, 90017-4810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104810050
Provider Name
Thomas Lee Shook
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1245 Wilshire Blvd, Los Angeles, CA, 90017-4810
Phone Number
213-977-7422
Fax Number
213-250-8945
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G597930 05 CA
institution
Provider Business Practice Location Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-977-7422
Fax Number
213-250-8945
person
Provider Business Mailing Address Details
Address
1245 Wilshire Blvd
City
Los Angeles
State
California
Zip
90017-4810
Phone Number
213-977-7422
Fax Number
213-250-8945
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G59793 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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