Tedric Lolis, PA-C is a surgical physician assistant in Martinsburg, WV with 3 years of experience. Tedric Lolis, PA-C NPI is 1114660289. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1008 TAVERN RD STE 102
MARTINSBURG, WV
ZIP 25401-801
Phone: (304) 263-5129
Fax: (304) 263-3726
The NPI 1114660289 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/18/2022 and was last updated on 1/17/2023.