Individual
LAURINE L THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
88 WASHINGTON ST, ATTN EMERGENCY DEPT, TAUNTON, MA 02780-2465
(508) 828-7108
(508) 828-7158
Mailing address
460 TOTTEN POND RD, C O MZI, WALTHAM, MA 02451-1906
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
79414
MA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
79414
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007047
TUFTS
MA
05
—
0122441
—
MA
01
—
6000094
HPHC
MA
01
—
J16910
BCBS
MA
Enumeration date
10/21/2005
Last updated
12/22/2022
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