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Individual

ALISHA RENAY LORREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1005 LEGACY RANCH RD STE 100, WAXAHACHIE, TX 75165-1294
(903) 571-9082
Mailing address
6850 COUNTY ROAD 4328, LARUE, TX 75770-4375
(903) 571-9082

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15129
TX

Other

Enumeration date
11/04/2021
Last updated
10/31/2022
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