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Abigail Rose Dezern

Physician Assistant in Rancho Mirage, CA. Individual provider (NPI-1).

NPI number1528756459
StatusActive
Last updated in NPPESSep 9, 2026

Details

NPI
1528756459
Entity type
Individual (NPI-1)
Name
Abigail Rose Dezern
Sex
Female
Sole proprietor
No
Enumeration date
Apr 27, 2023
Certification date
Sep 9, 2026
Last updated
Sep 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant63267CAYes

Other names

  • Abby R Lockman (Former Name)

Practice location

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202

Phone 760-568-2684

Mailing address

Po Box 1730
Rancho Mirage, CA 92270-1058

Phone 760-766-1246

Other practice locations

25455 Barton Rd Ste 102b
Loma Linda, CA 92354-3139

Phone 909-558-2808

21820 Cactus Ave
Riverside, CA 92518-3010

Phone 951-653-5291

309 E 2nd St
Pomona, CA 91766-1854

Phone 909-623-6116

Is something wrong?

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Other Physician Assistant providers in Rancho Mirage, CA

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