person
Tedric Lolis, PA-C
Surgical Physician Assistant in Martinsburg, West Virginia
NPI 1114660289

Tedric Lolis is a Surgical Physician Assistant based in Winchester, WV and is specialized in Surgical. Tedric Lolis practices in Martinsburg, WV and has the professional credentials of PA-C. The NPI Number for Tedric Lolis is 1114660289 and holds a License No. (West Virginia).

The current practice location address for Tedric Lolis is 1008 Tavern Rd Ste 102, Martinsburg, WV and can be reached out via phone at 304-263-5129 and via fax at 304-263-3726.

Location: 1008 Tavern Rd Ste 102, Martinsburg, WV, 22601-2889
person
Provider Profile Details
NPI Number
1114660289
Provider Name
Tedric Lolis
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1008 Tavern Rd Ste 102, Martinsburg, WV, 22601-2889
Phone Number
304-263-5129
Fax Number
304-263-3726
Provider Enumeration Date
04/18/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1008 Tavern Rd Ste 102
City
State
Zip
25401-2801
Phone Number
304-263-5129
Fax Number
304-263-3726
person
Provider Business Mailing Address Details
Address
1008 Tavern Rd Ste 102
City
State
Zip
25401-2801
Phone Number
304-263-5129
Fax Number
304-263-3726
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
()
Definition
Definition to come...
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