TEDRIC LOLIS, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1114660289

Practice Address

1008 TAVERN RD STE 102
Martinsburg, WV 25401

Phone: (304) 263-5129

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes -

Frequently Asked Questions

NPI 1114660289 is the National Provider Identifier for TEDRIC LOLIS, PA-C, a Physician Assistant - Surgical provider located in Martinsburg, WV. This NPI was enumerated on April 18, 2022.
TEDRIC LOLIS, PA-C practices at 1008 TAVERN RD STE 102, Martinsburg, WV 25401.

Quick Facts

NPI
1114660289
Type
Individual
Enumerated
Apr 18, 2022
Last Updated
Jan 17, 2023

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