Lyle Thorstenson MD

NPI #1134236714 in Nacogdoches, Texas

Provider Information

NPI Number
1134236714
Entity Type
Organization
Organization Name
Lyle Thorstenson MD
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Aug 23, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3302 NE STALLINGS DR
State
Texas
ZIP Code
75965-8727
Phone
(936) 564-2411

Authorized Official

Name
PAMELA R THORSTENSON
Title
ADMINISTRATOR
Phone
(936) 564-2411

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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