NPI 1275859621

Diadra Lorseh, PAC

Practitioner Physician Assistant Chickasha, OK

Practice location

Address: 2100 W Iowa Ave, Chickasha, OK 73018-2736
Phone: (405) 224-2100
Fax: (405) 779-2166

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 2040 (OK)

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Registry record

NPI: 1275859621
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Apr 2010
Record last updated: 30 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.