| Doctor Name: | MS. CYNTHIA ANN THORSEN |
| NPI Number: | 1316033186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S. |
| License Number: | |
| Business Practice Address: | 4303 Pitman And Thomas Fort Sill, OK - 73503 |
| Business Phone Number: | 5803531131 |
| Business Fax Number: | |
| Mailing Address: | 203 N.w. Northwood, LAWTON |
| State: | OK |
| Postal Code: | 73507 |
| Phone Number: | 4052556570 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |