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Bradley Lorah
Surgical Physician Assistant in Dickson City, Pennsylvania
NPI 1477573418

Bradley Lorah is a Surgical Physician Assistant based in Allentown, PA and is specialized in Surgical. Bradley Lorah practices in Dickson City, PA. The NPI Number for Bradley Lorah is 1477573418 and holds a License No. MA003220L (Pennsylvania).

The current practice location address for Bradley Lorah is 334 Main St, Dickson City, PA and can be reached out via phone at 570-307-1767 and via fax at 570-307-1770.

Location: 334 Main St, Dickson City, PA, 18104-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477573418
Provider Name
Bradley Lorah
Credential
Provider Entity Type
Individual
Gender
Male
Address
334 Main St, Dickson City, PA, 18104-2323
Phone Number
570-307-1767
Fax Number
570-307-1770
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA003220L 01 PA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
334 Main St
City
Dickson City
State
Pennsylvania
Zip
18519-1620
Phone Number
570-307-1767
Fax Number
570-307-1770
person
Provider Business Mailing Address Details
Address
334 Main St
City
Dickson City
State
Pennsylvania
Zip
18519-1620
Phone Number
570-307-1767
Fax Number
570-307-1770
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
MA003220L (Pennsylvania)
Definition
Definition to come...
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