Leslie D Thornburg, OD

NPI #1134101397 in Spooner, Wisconsin

Provider Information

NPI Number: 1134101397
Entity Type: Individual
Name: Leslie D Thornburg, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Nov 15, 2005
Last Updated: Jan 24, 2014

Practice Location

Address: W7164 GREEN VALLEY RD
Address 2: INDIANHEAD EYE CLINIC
City: Spooner
State: Wisconsin
ZIP Code: 54801-6605
Phone: (715) 635-3127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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