Individual
LUANNE E THORNDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, GENERAL MEDICINE, WORCESTER, MA 01655-0002
(508) 334-2731
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
245636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010547030003
—
PA
Enumeration date
05/08/2006
Last updated
09/16/2019
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