Individual
MIRIAM LYNNAE LOKITS DEFORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
160 MERCHANT ST STE 200, WINCHESTER, VA 22603-4772
(540) 536-5950
Mailing address
313 SUMMIT AVE, WINCHESTER, VA 22601-4249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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