Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 59640 | AZ |
N | 208000000X | Pediatrician | ME114251 | FL |
N | 2080P0208X | Pediatric Infectious Diseases | 59640 | AZ |
NPI | 1609017870 |
---|---|
Provider Name | Dr. Cherish Lorica |
First Address | Flagstaff, AZ 86003-3630 |
Second Address | Winslow, AZ 86047-2435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2009 |
Last Update Date | 22/03/2021 |