Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEDRIC LOLIS, PA-C
ActiveTEDRIC LOLIS, PA-C is a Surgical Physician Assistant healthcare provider located in MARTINSBURG, West Virginia. NPI 1114660289 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MARTINSBURG, WV
Registration Details
- NPI Number
- 1114660289
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2022 (4.3435239068962 yrs)
- Last Updated
- Jan 17, 2023
Practice Information
- Address
-
1008 TAVERN RD STE 102MARTINSBURG, WV, 254012801Browse WV providers · Browse ZIP 25401
- Phone
- 3042635129
- Fax
- 3042633726
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MARTINSBURG, WV
| Name | Credential | NPI |
|---|---|---|
| MR. MARSHALL FRANCIS SINBACK JR. | PA-C | 1174523393 |
| MARK JOSEPH CONTRAEL | PA-C | 1609824085 |
| MR. RYAN CHRISTOPHER RIFE | PA-C | 1336172733 |
| MR. DAVID KENT WAGNER | CSA, OPA | 1295897437 |
| JAMES MICHAEL MILLS | — | 1922297951 |
| BRIAN ANDREW MORGAN | — | 1225883275 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.