Individual
DR. THOMAS EMERY LORNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 S. MAIN ST, BLACK CREEK, WI 54106-0255
(920) 984-3315
(920) 984-3316
Mailing address
207 S. MAIN STREET, P.O.BOX 255, BLACK CREEK, WI 54106-0255
(920) 984-3315
(920) 984-3316
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4932
WI
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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