person
Lisa Marie Tolliver, PA-C
Medical Physician Assistant in Proctorville, Ohio
NPI 1043598485

Lisa Marie Tolliver is a Medical Physician Assistant based in Huntington, OH and is specialized in Medical. Lisa Marie Tolliver practices in Proctorville, OH and has the professional credentials of PA-C. The NPI Number for Lisa Marie Tolliver is 1043598485 and holds a License No. 2555 (Ohio).

The current practice location address for Lisa Marie Tolliver is 6276 County Road 107, Proctorville, OH and can be reached out via phone at 888-221-1826.

Location: 6276 County Road 107, Proctorville, OH, 25708-0390
person
Provider Profile Details
NPI Number
1043598485
Provider Name
Lisa Marie Tolliver
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
6276 County Road 107, Proctorville, OH, 25708-0390
Phone Number
888-221-1826
Fax Number
Provider Enumeration Date
08/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043598485 05 WV
7100179880 05 KY
P01094323 01 KY RR MEDICARE
0166746 05 OH
institution
Provider Business Practice Location Address Details
Address
6276 County Road 107
City
State
Zip
45669-8867
Phone Number
888-221-1826
Fax Number
person
Provider Business Mailing Address Details
Address
6276 County Road 107
City
State
Zip
45669-8867
Phone Number
888-221-1826
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
2555 (West Virginia)
Definition
Definition to come...
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