Individual
JASON MICHAEL LORCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1650 DIXWELL AVE, HAMDEN, CT 06514-3615
(203) 288-1700
Mailing address
1650 DIXWELL AVE, HAMDEN, CT 06514-3615
(203) 288-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4760
CT
Other
Enumeration date
03/14/2019
Last updated
08/07/2020
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