Lorah, Bradley

Lorah, Bradley is an individual health care provider with primary practice located at 334 Main St Ste 1, Dickson City PA 18519-1620. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Lorah, Bradley can be contacted via phone (570) 307-1767.

Contact Information

Primary practice address
334 Main St Ste 1 Dickson City PA 18519-1620
Phone: (570) 307-1767
Fax: (570) 307-1770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA003220L Pennsylvania

Profile Details

NPI number 1477573418
LBN Legal business name Lorah, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated May 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477573418 NPPES
Pennsylvania Other MA003220L STATE LICENSE

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