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Dr. Lisa M Thorn, MD
Family Medicine Physician in Averill Park, New York
NPI 1457432833

Lisa M Thorn is a Family Medicine Physician based in Latham, NY. Lisa M Thorn practices in Averill Park, NY and has the professional credentials of MD. The NPI Number for Lisa M Thorn is 1457432833 and holds a License No. 187244 (New York).

The current practice location address for Lisa M Thorn is 3305 Route 43, Averill Park, NY and can be reached out via phone at 518-674-5797 and via fax at 518-674-2396.

Location: 3305 Route 43, Averill Park, NY, 12110-2461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457432833
Provider Name
Lisa M Thorn
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3305 Route 43, Averill Park, NY, 12110-2461
Phone Number
518-674-5797
Fax Number
518-674-2396
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10002042 01 NY CDPHP
5731176 01 NY AETNA
01397479 05 NY
92949 01 NY GHI/HMO
5562A1 01 NY EMPIRE BC
FIDELIS 01 NY 070129000060
000401537006 01 NY BSNENY
383845 01 NY MVP
SENIOR WHOLE HEALTH 01 NY 200249
institution
Provider Business Practice Location Address Details
Address
3305 Route 43
City
Averill Park
State
New York
Zip
12018
Phone Number
518-674-5797
Fax Number
518-674-2396
person
Provider Business Mailing Address Details
Address
3305 Route 43
City
Averill Park
State
New York
Zip
12018
Phone Number
518-674-5797
Fax Number
518-674-2396
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
187244 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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