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Individual

MR. LORAN F. FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1210 W 18TH ST STE G01, SIOUX FALLS, SD 57104-4651
(605) 328-2663
(605) 328-3760
Mailing address
47568 249TH ST, DELL RAPIDS, SD 57022-5319
(512) 799-5519

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0757
SD
363AM0700X
Medical Physician Assistant
PA05209
TX

Other

Enumeration date
03/19/2007
Last updated
07/24/2019
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