Individual
DEBRA L. THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Mailing address
23823 LORAIN RD, SUITE 280, NORTH OLMSTED, OH 44070-2254
(440) 734-5662
(440) 734-0989
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2390
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
2390
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3416115780A13
BLUE CROSS/BLUE SHIELD
OH
01
—
395959503
MEDICAL MUTUAL OF OHIO
OH
05
—
TH06211961
—
OH
Enumeration date
11/03/2006
Last updated
07/19/2024
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