TEDRIC LOLIS

MARTINSBURG, WV
NPI1114660289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
Enumeration Date2022-04-18
Last Update Date2023-01-17
Business Address
TEDRIC LOLIS PA-C
1008 TAVERN RD STE 102
MARTINSBURG, WV 25401-2801
Phone number: 304-263-5129
Mailing Address
TEDRIC LOLIS PA-C
220 CAMPUS BLVD STE 210
WINCHESTER, VA 22601-2889
Phone number: 540-536-5100
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