person
Mary Alice Lollis, APRN
Family Nurse Practitioner in Anderson, South Carolina
NPI 1922360593

Mary Alice Lollis is a Family Nurse Practitioner based in Anderson, SC and is specialized in Family. Mary Alice Lollis practices in Anderson, SC and has the professional credentials of APRN. The NPI Number for Mary Alice Lollis is 1922360593 and holds a License No. 17911 (South Carolina).

The current practice location address for Mary Alice Lollis is 100 Gavotte Ln, Anderson, SC and can be reached out via phone at 864-261-7474 and via fax at 864-261-8580.

Location: 100 Gavotte Ln, Anderson, SC, 29621-8205
person
Provider Profile Details
NPI Number
1922360593
Provider Name
Mary Alice Lollis
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
100 Gavotte Ln, Anderson, SC, 29621-8205
Phone Number
864-261-7474
Fax Number
864-261-8580
Provider Enumeration Date
06/11/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP2056 05 SC
institution
Provider Business Practice Location Address Details
Address
100 Gavotte Ln
City
State
Zip
29621-8205
Phone Number
864-261-7474
Fax Number
864-261-8580
person
Provider Business Mailing Address Details
Address
100 Gavotte Ln
City
State
Zip
29621-8205
Phone Number
864-261-7474
Fax Number
864-261-8580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
17911 (South Carolina)
Definition
Definition to come...
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