Organization
LARRY E. THORNE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY EDWARD THORNE M.D, (DOCTOR/OWNER)
(334) 826-1121
Entity
Organization
Contact information
Practice address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Mailing address
1559 PROFESSIONAL PKWY, AUBURN, AL 36830-2858
(334) 826-1121
(334) 826-1149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18478
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132048
—
AL
01
—
160200
AAP ID
AL
01
—
18478
ALABAMA MEDICAL LICENSE
AL
01
—
34619
AMERICAN BOARD PEDIATRICS
AL
01
—
51118875
BCBS OF AL
AL
Enumeration date
09/06/2011
Last updated
03/07/2023
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