Individual
LORALEI L THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 487-3352
(585) 256-1416
Mailing address
601 ELMWOOD AVE, BOX 668, ROCHESTER, NY 14642-0001
(585) 487-3352
(585) 256-1416
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
234391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634908
—
NY
01
—
7230738
AETNA
NY
01
—
MDJ028
PREFERRED CARE
NY
01
—
P010234391
BLUE CHOICE
NY
01
—
P030234391
BLUE SHIELD OF ROCHESTER
NY
Enumeration date
06/24/2006
Last updated
07/05/2023
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