Individual
NICHOLAS BLAINE LOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 694-6010
(520) 694-2530
Mailing address
1501 N CAMPBELL AVE BOX 245078, TUCSON, AZ 85724-0001
(520) 694-6010
(520) 694-2530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R79464
AZ
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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