Leslie D Thornburg (NPI# 1134101397, PAC ID# 5698809606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1134101397 |
PAC ID by PECOS | 5698809606 |
Professional Enrollment ID | I20100812000769 |
Full Name | Leslie D Thornburg |
Organization Legal Name | THOMAS ERIC HERZOG INC |
Address |
W7164 Green Valley Rd Spooner WI 54801 |
Phone Number | 7156353127 |
Gender | F |
Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 1975 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 3072574813 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
W7164 Green Valley Rd, Spooner, WI 54801 | 7156353127 | THOMAS ERIC HERZOG INC |
Organization Legal Name | THOMAS ERIC HERZOG INC |
Physicians | 1 |
Street Address |
W7164 GREEN VALLEY RD |
City | SPOONER |
State | WI |
Zip | 54801 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lyle L Lauritsen | Chiropractic | 214 Spruce St, Spooner, WI 54801-1149 | |
Timothy John Wolter | Family Practice | The Duluth Clinic Ltd | 707 Ash St, Spooner, WI 54801-1234 |
Ann E Marchetta | Nurse Practitioner | The Duluth Clinic Ltd | 707 Ash St, Spooner, WI 54801-1234 |
Nathan K Eichhorst | Optometry | Spooner Eye Care Sc | 130 Walnut St, Spooner, WI 54801-1319 |
Amy M Greenfield | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
Anna Lang | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
Paul E Niemuth | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
Aleisha J Janssen | Physical Therapy | Greenfield Physical Therapy and Sports Medicine, LLC | 112 Ash St, Spooner, WI 54801-1487 |
Randy O Larson | Chiropractic | 410 N River St, Spooner, WI 54801-1495 | |
Randy G Strickland | Chiropractic | 211 E Linn St, Spooner, WI 54801-1502 | |
Find all physicians in zip 54801 |
City | SPOONER |
Zip Code | 54801 |
Specialty | OPTOMETRY |
City + Specialty | SPOONER + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.