MIA LASSITER MEDLOCK

LANCASTER, SC
NPI1518417799
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  2619)
Enumeration Date2016-10-11
Last Update Date2021-11-23
Business Address
MIA LASSITER MEDLOCK PA-C
838 W MEETING ST MEDICAL ARTS 5 SUITE H
LANCASTER, SC 29720
Phone number: 803-286-7633
Mailing Address
MIA LASSITER MEDLOCK PA-C
838 W MEETING ST MEDICAL ARTS 5 SUITE H
LANCASTER, SC 29720-6233
Phone number:
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