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Individual

DIANA LYNN LOSAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4716 ALLIANCE BOULEVARD, STE 700, PLANO, TX 75093-5389
(469) 800-6069
(214) 292-0047
Mailing address
4716 ALLIANCE BLVD STE 700, PLANO, TX 75093-5389
(469) 800-6069
(469) 800-6061

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08206
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
353899301
TX
Enumeration date
03/27/2013
Last updated
04/05/2022
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