Bradley Lorah is a Surgical in Dickson City, Pennsylvania. Bradley Lorah practices all healthcare services and medical treatments related to Surgical. The NPI Number for Bradley Lorah is 1477573418. The last update date is 2022-05-05.
Bradley Lorah's current location address is 334 Main St, Dickson City, Pennsylvania. You can contact this provider via phone number 5703071767 and fax number 5703071770. The mailing address for Bradley Lorah is 334 Main St, Dickson City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Lorah |
|---|---|
| Address | 334 Main St, Dickson City, Pennsylvania |
| Phone Number | 5703071767 |
| Fax Number | 5703071770 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1477573418 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2022-05-05 |
Provider Mailing Address Detail
| Address | 334 Main St |
|---|---|
| City | Dickson City |
| State | Pennsylvania (PA) |
| Post Code | 185191620 |
| Phone Number | 5703071767 |
| Fax Number | 5703071770 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | MA003220L |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MA003220L | PA | STATE LICENSE |
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What is the unique 10-digit identification code assigned to Bradley Lorah by the Centers for Medicare & Medicaid Services?
The Bradley Lorah has been issued the NPI (National Provider Identifier) 1477573418, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bradley Lorah located?
The Bradley Lorah is located at 334 Main St, Dickson City, PA 185191620.
What is Bradley Lorah's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradley Lorah is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477573418 to Bradley Lorah?
The Bradley Lorah received its 1477573418 assignment from the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the Bradley Lorah's details last updated?
The information pertaining to the Bradley Lorah, including its address, specialty, and other details, was most recently updated on 2022-05-05.
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