Lyle Thorstenson, MD

NPI #1396798955 in Nacogdoches, Texas

Provider Information

NPI Number
1396798955
Entity Type
Organization
Organization Name
Lyle Thorstenson, MD
Primary Specialty
Clinic/Center - Ophthalmologic Surgery
Enumeration Date
May 17, 2006
Last Updated
Oct 4, 2007

Practice Location

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

Authorized Official

Name
DR. LYLE S THORSTENSON, M.D.
Title
OWNER/PHYSICIAN
Phone
(936) 564-2411

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ophthalmologic SurgeryOphthalmologic Surgery

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