Individual
LANCE THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
3435 N HOLLAND SYLVANIA RD, TOLEDO, OH 43615-1411
(419) 841-9852
(419) 843-2727
Mailing address
3435 N HOLLAND SYLVANIA RD, TOLEDO, OH 43615-1411
(419) 841-9852
(419) 843-2727
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
LO282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2225121
—
OH
Enumeration date
03/07/2013
Last updated
03/07/2013
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