Individual
GREGORY LOLLO
Active
Individual
GREGORY LOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
190657-1
NY
207L00000X
Anesthesiology Physician
73586
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600164
—
NY
01
—
73586
MEDICAL LICENSE
CT
Enumeration date
06/24/2005
Last updated
12/11/2023
Update your record
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