Individual
TEAGAN LYNN THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(425) 246-8328
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(425) 246-8328
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
321870
NY
2086X0206X
Surgical Oncology Physician
Primary
321870
NY
Other
Enumeration date
04/03/2017
Last updated
08/29/2025
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