Diadra Lorseh, PA-C

NPI #1275859621 in Chickasha, Oklahoma

Provider Information

NPI Number: 1275859621
Entity Type: Individual
Name: Diadra Lorseh, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 9, 2010
Last Updated: Nov 30, 2016

Practice Location

Address: 2100 W IOWA AVE
City: Chickasha
State: Oklahoma
ZIP Code: 73018-2736
Phone: (405) 224-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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