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
- City
- Nacogdoches
- 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 Surgical — Ambulatory Surgical |
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