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Individual

NICOLE ANN LOLLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
365 SPRING AVE, MARS, PA 16046
(412) 378-2303
Mailing address
635 SPRING AVE, MARS, PA 16046
(412) 378-2303

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
PA201780
PA
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
03/30/2018
Last updated
01/13/2019
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