Individual provider · Type 1 NPI

Bradley Lorah

Surgical Physician Assistant · Dickson City, PA

NPI number 1477573418 Active

Practice location

334 Main St, Ste 1
Dickson City, PA 18519-1620

Fax (570) 307-1770

Mailing address

1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA003220L (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1477573418

Bradley Lorah's National Provider Identifier is 1477573418, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dickson City, PA. The record was last updated on May 5, 2022.